Individual provider Active NPI

Rita A. Bass, M.D.

  • Diagnostic Radiology Physician
  • Clinton, MD
National Provider Identifier
1700866316
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101034430 Issued in VA
Practice address
8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4220
Phone
(301) 856-3670
Fax
(301) 868-0129
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101034430 VA
Diagnostic Radiology Physician 2085R0202X 0101034430 VA Primary
Specialist 174400000X D27202 MD

Addresses

Primary practice location

8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4220

Mailing address

2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4416
Phone (703) 698-4483

Other identifiers 4

IdentifierTypeStateIssuer
010292395MedicaidVA
761600700MedicaidMD
010331048MedicaidVA
010292417MedicaidVA

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

LicenseStateTypeSpecialty
D27202MDMDSpecialist
0101034430VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Radiologists Medical Imaging PA Diagnostic Radiology Past Accepting new patients
Diagnostic Medical Imaging PA Diagnostic Radiology PastSince Oct 24, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rbass322248@soc.inova.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1700866316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314416",
            "telephone_number": "703-698-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "SUITE 301",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354220",
            "telephone_number": "301-856-3670",
            "fax_number": "301-868-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "RITA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101034430",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101034430",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D27202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010292395",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761600700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010331048",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010292417",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.