Individual provider Active NPI

Amer Kowatli

  • Diagnostic Radiology Physician
  • Annandale, VA
National Provider Identifier
1730672221
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101285659 Issued in VA
Practice address
3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337
Phone
(610) 250-4375
NPI assigned
Jun 11, 2018
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 0101285659 VA
Diagnostic Radiology Physician 2085R0202X 85064 WV
Diagnostic Radiology Physician 2085R0202X 0101285659 VA Primary

Addresses

Primary practice location

3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337

Mailing address

3289 Woodburn Rd Ste 60
Annandale, VA 22003-7337

Other practice location 1

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, WV2 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
I20250513000472 DC Practitioner - Nuclear Medicine 3577895754 Reassigns benefits to 3 organizations
I20250623000060 WV Practitioner - Diagnostic Radiology 3577895754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Woodburn Nuclear Medicine, LTDGroup PAC ID 9537294533, 7 clinicians

Practice addresses (Care Compare)

2002 Tysons Ridgeline Rd
Falls Church, VA 22043-2617
Phone (540) 741-5610

3289 Woodburn Rd
Suite 60
Annandale, VA 22003-7337
Phone (703) 698-0666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101285659VAMDDiagnostic Radiology Physician
85064WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Paul Wiesner & Associates Chartered Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Woodburn Nuclear Medicine, LTD Nuclear Medicine CurrentSince Jun 23, 2025 Accepting new patients
Mary Washington Healthcare Providers LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients

Locations

100 E Campus View Blvd
Ste 100
Columbus, OH 43235
Phone (412) 359-8743

3289 Woodburn Rd
Ste 60
Annandale, VA 22003
Phone (703) 698-0666

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1730672221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD STE 60",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD STE 60",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037337",
            "telephone_number": "610-250-4375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Sam Perry Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014453",
            "country_code": "US",
            "telephone_number": "540-741-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWATLI",
        "first_name": "AMER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "VA",
            "license": "0101285659",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "85064",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101285659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.