Enrico J Doganiero, DO
Individual provider Active NPI Diagnostic Radiology Physician · Manassas, VA
NPI 1679579502 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1679579502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 0102208955 (VA)
- Practice address
- 8700 Sudley Rd
Manassas, VA 20110-4418 - Phone
- (703) 369-8073
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 40
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1987
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Augusta Health Care Inc
Upmc Wellsboro
Foundation Radiology Group PC
University of Louisville Physicians Inc
Susquehanna Physician Services
University Hospitals Medical Group Inc
Augusta Medical Group
University of Virginia Physicians Group
Practice addresses (Care Compare)
23 N Campus Dr
Suite 101
Fishersville, VA 22939-2469
Phone (540) 332-4400
32 -36 Central Ave
Wellsboro, PA 16901-1840
Phone (570) 723-0100
5 Garrett Ave
La Plata, MD 20646-5960
Phone (843) 237-3164
530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-5851
700 High St
Williamsport, PA 17701-3100
Phone (570) 321-2400
756 Fischler St Ext
Wellsboro, PA 16901-7860
Phone (502) 852-5875
78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073
Hospital & facility affiliations
- Upmc Wellsboro
- Wayne Memorial Hospital
- Heritage Valley Beaver
- Uva Health Haymarket Medical Center
- University of MD Charles Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.37 of 100
- Quality
- 86.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 44.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in PA, MD, VA, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041012000648 | PA | Practitioner - Diagnostic Radiology | 5597725879 | Reassigns benefits to 5 organizations |
| I20241216003530 | MD | Practitioner - Diagnostic Radiology | 5597725879 | Reassigns benefits to 1 organization |
| I20250107003172 | VA | Practitioner - Diagnostic Radiology | 5597725879 | Reassigns benefits to 5 organizations |
| I20250911004527 | KY | Practitioner - Diagnostic Radiology | 5597725879 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007286E | PA | MD | Diagnostic Radiology Physician |
| 0102208955 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Augusta Medical Group | Current |
Accepting new patients | |
| Augusta Medical Group | Current |
Accepting new patients | |
| Augusta Health Care, Inc | Current |
Accepting new patients | |
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Augusta Health Care, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Susquehanna Physician Services | Current |
Accepting new patients | |
| Susquehanna Physician Services | Diagnostic Radiology | Current |
Accepting new patients |
| University of Virginia Physicians Group | Current |
Accepting new patients | |
| Uva Outpatient Imaging Culpeper, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University of Louisville Physicians, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Wellsboro Imaging Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Foundation Radiology Group PC | Diagnostic Radiology | Current |
Accepting new patients |
| Upmc Wellsboro | Current |
Accepting new patients | |
| Salem Community Hospital | Diagnostic Radiology | Current |
Accepting new patients |
| Salem Community Hospital | Diagnostic Radiology | Current |
Accepting new patients |
| Upmc Wellsboro | Current |
Accepting new patients | |
| Upmc Wellsboro | Past | Accepting new patients | |
| Physicians Imaging Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
| F&S Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Professionals of Pennsylvania PC | Diagnostic Radiology | Past | Accepting new patients |
| Ucmg LLC | Past |
Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
1707 Cedar Grove Rd
Ste 10
Shepherdsville, KY 40165
Phone (502) 543-3246
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
7150 Contee Rd
Laurel, MD 20707
Phone (240) 677-7200
549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100
1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109
600 Grant St
Fl 58
Pittsburgh, PA 15219
Phone (412) 647-4054
32-36 Central Ave
Ofc
Wellsboro, PA 16901
32-36 Central Ave
Wellsboro, PA 16901
Phone (570) 723-0100
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687
78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216
78 Medical Center Dr
Fl 1
Fishersville, VA 22939
23 North Campus Dr
Ste 101
Fishersville, VA 22939
Phone (540) 332-4400
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
Interoperability endpoints
- upmchospitals@upmcdirect.com
- https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS007286E | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 0102208955 | VA | Yes |
Addresses
Primary practice location
8700 Sudley Rd
Manassas, VA 20110-4418
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Phone (434) 295-1000
Other practice location 1
32-36 Central Ave
Wellsboro, PA 16901-1840
Phone (570) 723-0163
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | UPMC |
Other providers in Manassas, VA
- Divine Mercy Home
- Dianna Dixon
- Sochia Simone Dixon
- Tiara Dixon
- Youssef Djebbari
- Archana Dogra
- Robin C Dole
- Robert M Dombrowski
- Natalia Margarita Dominguez Buelot
- Dominion Eye Care, P.C.
All providers in Manassas, VA · Diagnostic Radiology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.