Medstar Medical Group Radiology, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDSTAR MEDICAL GROUP RADIOLOGY, LLC

Practice address

110 Irving St NW
Washington, DC 20010-3017

Phone

(703) 558-1403

NPI assigned

May 8, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Schneider

Title

VP

Phone

(702) 558-1403

Specialties & licenses 1

Addresses

Tax ID family

Medstar Medical Group Radiology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medstar Medical Group Radiology, LLC

  • Diagnostic Radiology Physician
  • Washington, DC
  • NPI 1457943466
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1649028358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 TILDEN ST NW STE 5N",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083030",
            "telephone_number": "703-558-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "703-558-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR MEDICAL GROUP RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "702-558-1403"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medstar Medical Group II LLC
• Medstar Medical Group II LLC
• Medstar Medical Group II LLC
• Medstar Medical Group Radiology, LLC
• Medstar Medical Group Radiology, LLC
• Medstar Medical Group, LLC
• Medstar National Rehabilitation Hospital
• Medstar National Rehabilitation Network
• Medstar Pharmacies Inc
• Medstar Pharmacies, Inc.

• Diagnostic Radiology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Diagnostic Radiology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.