Individual provider Active NPI

Dhane Stomp

  • Student in an Organized Health Care Education/Training Program
  • New Haven, CT
National Provider Identifier
1720435365
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
20 York Street
Ynhh Tompkins 226
New Haven, CT 06510
Phone
(203) 688-9503
NPI assigned
May 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101284559 VA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

20 York Street
Ynhh Tompkins 226
New Haven, CT 06510

Mailing address

20 York Street
East Pavilion, Room 506
New Haven, CT 06510

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 698-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250709000721 DC Practitioner - Diagnostic Radiology 4688112337 Reassigns benefits to 3 organizations
I20250924003542 VA Practitioner - Diagnostic Radiology 4688112337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Practice addresses (Care Compare)

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

4001 Prince William Pkwy
Suite 302
Woodbridge, VA 22192-7667
Phone (703) 698-4444

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101284559VAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Reston MRI Center LLC Diagnostic Radiology Current Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Ifrc, LLC CurrentSince Jun 1, 2025 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Aug 16, 2025 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Aug 16, 2025 Accepting new patients
Fairfax Pet Imaging Center, LLC Past Accepting new patients

Locations (25 of 39)

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

1600 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 751-5055

1800 N Beauregard St
Alexandria, VA 22311
Phone (703) 933-2590

400 Fannon St
Fl 1
Alexandria, VA 22301
Phone (571) 472-5400

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3299 Woodburn Rd
Ste 110
Annandale, VA 22003
Phone (703) 849-9050

3833 Fairfax Dr
Ste 110
Arlington, VA 22203
Phone (202) 674-0644

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-6464

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

6211 Centreville Rd
Ste 400M
Centreville, VA 20121
Phone (703) 204-4411

6211 Centreville Rd
Ste 400
Centreville, VA 20121
Phone (703) 204-4411

3801 University Dr
#120
Fairfax, VA 22030
Phone (703) 698-4467

8260 Willow Oaks Corporate Dr
Ste 750
Fairfax, VA 22031
Phone (703) 481-9400

8503 Arlington Blvd
Ste LL100
Fairfax, VA 22031
Phone (703) 698-4498

8260 Willow Oaks Corporate Dr
Ste 200
Fairfax, VA 22031
Phone 703698444414708

8081 Innovation Park Dr
Bldg A
Fairfax, VA 22031

8081 Innovation Park Dr
Bldg B
Fairfax, VA 22031
Phone 703698444414708

8081 Innovation Park Dr
Ste 204
Fairfax, VA 22031
Phone (703) 698-9600

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

8503 Arlington Blvd
Ste LL110
Fairfax, VA 22031
Phone (703) 698-9600

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

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

7799 Leesburg Pike
Ste 104S
Falls Church, VA 22043
Phone (703) 645-8160

Interoperability endpoints

  • Direct secure messaging: dstomp658776@direct.ynhh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1720435365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK STREET",
            "address_2": "EAST PAVILION, ROOM 506",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK STREET",
            "address_2": "YNHH TOMPKINS 226",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-688-9503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-698-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOMP",
        "first_name": "DHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101284559",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.