Individual provider Active NPI

William Edmund Prominski, MD

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1699749788
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD045791 Issued in DC
Practice address
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone
(202) 537-4000
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD045791 DC Primary
Diagnostic Radiology Physician 2085R0202X D0040432 MD
Diagnostic Radiology Physician 2085R0202X 0101041171 VA

Addresses

Primary practice location

5255 Loughboro Rd NW
Washington, DC 20016-2633

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

1610 Fielding Lewis Way
Mc Lean, VA 22101-3246
Phone (952) 595-1100

Other practice location 2

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100

Other names 1

  • Bill Edmund Prominski Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050126000405 DC Practitioner - Diagnostic Radiology 3274583414 Reassigns benefits to 5 organizations
I20080211000857 VA Practitioner - Diagnostic Radiology 3274583414 Reassigns benefits to 2 organizations
I20181205001646 MD Practitioner - Diagnostic Radiology 3274583414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians
Washington Open MRI IncGroup PAC ID 8426037169, 3 clinicians

Practice addresses (Care Compare)

11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 203-2246

11886 Healing Way
102 Ahc Imaging
Silver Spring, MD 20904-7917
Phone (240) 637-6120

11890 Healing Way
Ahc Imaging
Silver Spring, MD 20904-7917
Phone (240) 637-6222

15005 Shady Grove Rd
Suite 110
Rockville, MD 20850-6341
Phone (301) 424-4888

25 Crossroads Dr
Suite 180
Owings Mills, MD 21117-5485
Phone (410) 356-0343

9601 Blackwell Rd
Suite 150
Rockville, MD 20850-6474
Phone (240) 864-1100

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074

Hospital & facility affiliations

  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Adventist Healthcare Fort Washington Medical Ctr Hospital, Fort Washington, MD, CCN 210060

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD045791DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Open MRI Inc Diagnostic Radiology CurrentSince Aug 15, 2018 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2016 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine CurrentSince Mar 3, 2017 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Diagnostic Radiology Current Accepting new patients
Adventist Physician Services, Inc. CurrentSince Oct 28, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 3, 2017 Accepting new patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Oct 28, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Family Medicine CurrentSince Feb 10, 2018 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Oct 10, 2018 Accepting new patients
Reston Radiology Consultants, PC Diagnostic Radiology PastSince Nov 9, 2021 Accepting new patients
Loudoun Imaging Center/Ashburn, LLC Diagnostic Radiology PastSince Apr 23, 2023 Accepting new patients
MRI of Reston, LP Diagnostic Radiology PastSince Apr 23, 2023 Accepting new patients
Centra Health Inc Past Accepting new patients
Southside Community Hospital, Inc. Past Accepting new patients
Fair Oaks Imaging Center, PC Diagnostic Radiology PastSince Apr 23, 2023 Accepting new patients
Washington Open MRI Inc PastSince Aug 15, 2018 Accepting new patients
Washington Open MRI Inc PastSince Nov 12, 2018 Accepting new patients
Pet of Reston, LP Diagnostic Radiology PastSince Apr 23, 2023 Accepting new patients
Virginia Radiological Associates PLLC Diagnostic Radiology Past Accepting new patients

Locations

7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600

7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

25 Crossroads Dr
Ste 180
Owings Mills, MD 21117
Phone (410) 356-0343

6196 Oxon Hill Rd
Ste 110
Oxon Hill, MD 20745
Phone (301) 424-4888

15005 Shady Grove Rd
Ste 110
Rockville, MD 20850
Phone (301) 424-4888

2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852

2101 E Jefferson St
#4E
Rockville, MD 20852

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

2101 E Jefferson St
Ste 6W
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

7141 Security Blvd
Windsor Mill, MD 21244
Phone (410) 281-6200

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400

14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1699749788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LOUGHBORO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162633",
            "telephone_number": "202-537-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Fielding Lewis Way",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013246",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141422",
            "country_code": "US",
            "telephone_number": "301-896-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROMINSKI",
        "first_name": "WILLIAM",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD045791",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0040432",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101041171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "PROMINSKI",
            "middle_name": "EDMUND",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.