Active NPI
Michael G. Velchik, MD
- Diagnostic Radiology Physician
- Fairfax, VA
National Provider Identifier
1700804317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101045836
- Practice address
- 2722 Merrilee Dr
#230
Fairfax, VA 22031-4400 - Phone
- (703) 698-4444
- Fax
- (703) 698-2176
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 0101045836 | VA | |
| Neuroradiology Physician | 2085N0700X | 0101045836 | VA | |
| Nuclear Radiology Physician | 2085N0904X | 0101045836 | VA | |
| Pediatric Radiology Physician | 2085P0229X | 0101045836 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101045836 | VA | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 0101045836 | VA | |
| Diagnostic Ultrasound Physician | 2085U0001X | 0101045836 | VA |
Addresses
Primary practice location
2722 Merrilee Dr
#230
Fairfax, VA 22031-4400
Mailing address
2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400
Phone (703) 698-4444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025 | Other | VA | CAREFIRST BCBS |
| 7200882000 | Medicaid | WV | |
| P00459658 | Other | VA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101045836 | VA | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1700804317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 MERRILEE DR",
"address_2": "STE 230",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314400",
"telephone_number": "703-698-4444",
"fax_number": "703-698-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 MERRILEE DR",
"address_2": "#230",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314400",
"telephone_number": "703-698-4444",
"fax_number": "703-698-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELCHIK",
"first_name": "MICHAEL",
"middle_name": "G.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "VA",
"license": "0101045836",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "VA",
"license": "0101045836",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "VA",
"license": "0101045836",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "VA",
"license": "0101045836",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101045836",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "VA",
"license": "0101045836",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "VA",
"license": "0101045836",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "0025",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7200882000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00459658",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.