Organization Active NPI

Medical Center Radiologists Inc

  • Diagnostic Radiology Physician
  • Norfolk, VA
National Provider Identifier
1720079254
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDICAL CENTER RADIOLOGISTS INC
Practice address
600 Gresham Dr
Norfolk, VA 23507-1904
Phone
(757) 338-3231
NPI assigned
Nov 3, 2005
Last updated
Apr 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Dr. Adam Wayne Specht, MDNPI 1053397588
Title
Pres of Med Ctr Radiologists Inc
Phone
(757) 466-0089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

600 Gresham Dr
Norfolk, VA 23507-1904

Mailing address

PO Box 41115
Norfolk, VA 23541-1115
Phone (757) 466-0089

Other identifiers 9

IdentifierTypeStateIssuer
100042OtherVASENTARA
100042OtherVAOPTIMA
165565OtherVAOPTIMA
8902126MedicaidNC
CA5826OtherVARR MEDICARE
1720079254MedicaidVA
165565OtherVASENTARA
139178OtherVABCBS
02126OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA, FL, OH, TN, IL, OR, NY, WA, MI, MA, MO, NC, AZ, MN, CT, MD, KY, PR, IN, CO, DC22 enrollments

Enrollment records 22

Enrollment IDStateProvider typePAC IDDetails
O20031201000544 VA Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 149 practitioners
Practice locations: Portsmouth, VA; Suffolk, VA; Virginia Beach, VA; Williamsburg, VA; Winchester, VA; Norfolk, VA; Aldie, VA; Chesterfield, VA…
O20200226000128 CA Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 7 practitioners
Practice locations: Encinitas, CA; Valley Center, CA; San Diego, CA; Sacramento, CA; La Jolla, CA
O20200306002160 FL Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 7 practitioners
Practice locations: Boynton Beach, FL; Jacksonville, FL; Miami, FL; Punta Gorda, FL; San Antonio, FL; Sanford, FL; St Petersburg, FL
O20221003002667 OH Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 3 practitioners
Practice locations: Akron, OH; Beachwood, OH
O20221010002115 TN Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 3 practitioners
Practice locations: Franklin, TN; Knoxville, TN; Loudon, TN; Paris, TN
O20221017000706 IL Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Hinsdale, IL
O20221019002580 OR Part B Supplier - Clinic/Group Practice 5395640650 Practice locations: Beaverton, OR
O20221027001319 NY Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20230207000206 WA Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 2 practitioners
Practice locations: Seattle, WA; White Salmon, WA
O20230309002104 MI Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield Township, MI
O20230314001451 MA Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Shrewsbury, MA
O20230323002208 MO Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO
O20230329002247 NC Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 4 practitioners
Practice locations: Durham, NC; Whitsett, NC
O20230530001780 AZ Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20230808002689 MN Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Edina, MN; Minneapolis, MN
O20230809001027 CT Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Danbury, CT
O20231023003571 MD Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: La Plata, MD
O20240206000641 KY Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Prospect, KY
O20250123003475 PR Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20250430002040 IN Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN
O20250919000911 CO Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 1 practitioner
Practice locations: Broomfield, CO
O20260209000699 DC Part B Supplier - Clinic/Group Practice 5395640650 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, DC; Bethesda, MD

National Provider Directory

National Provider Directory

Locations

3972 Barranca Pkwy
Irvine, CA 92606

2461 Santa Monica Blvd
Santa Monica, CA 90404

2461 Santa Monica Blvd
Ste 108
Santa Monica, CA 90404
Phone (866) 487-7621

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

214 Weaver Ave
Emporia, VA 23847
Phone (434) 348-2000

600 Gresham Dr
#700
Norfolk, VA 23507
Phone (757) 668-1370

600 Gresham Dr
#8630
Norfolk, VA 23507
Phone (757) 388-6105

5544 Greenwich Rd
Ste 200
Virginia Beach, VA 23462

Practitioners & affiliated clinicians

Practitioners 247

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 247

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1720079254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41115",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235411115",
            "telephone_number": "757-466-0089",
            "fax_number": "757-466-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-338-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER RADIOLOGISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "SPECHT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRES OF MED CTR RADIOLOGISTS INC",
        "authorized_official_telephone_number": "757-466-0089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "100042",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "100042",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "165565",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902126",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA5826",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720079254",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "165565",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "139178",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02126",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.