Individual provider Active NPI

Philip Panic, MD

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1730685405
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101289331 Issued in VA
Practice address
1250 E Marshall St
Richmond, VA 23298-5023
Phone
(804) 828-6600
Fax
(804) 828-6129
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 2026036120 MO
Diagnostic Radiology Physician 2085R0202X 0101289331 VA Primary
Vascular & Interventional Radiology Physician 2085R0204X 35C.004461 OH
Diagnostic Radiology Physician 2085R0202X 35C.004461 OH
Vascular & Interventional Radiology Physician 2085R0204X 43-53621 KS
Diagnostic Radiology Physician 2085R0202X DR.0072416 CO

Addresses

Primary practice location

1250 E Marshall St
Richmond, VA 23298-5023

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-6282

Other practice location 2

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (816) 932-2549

Other practice location 3

5818 N Nevada Ave Ste 100
Colorado Springs, CO 80918-3505
Phone (719) 365-7480

Other practice location 4

395 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 293-8315

Other practice location 5

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240725004470 CO Practitioner - Diagnostic Radiology 8527317361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Hospital Association of the San Luis ValleyGroup PAC ID 4789589094, 146 clinicians
Radiology and Imaging Consultants PCGroup PAC ID 1850298647, 45 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511

1400 E Boulder St
Memorial Hospital Central
Colorado Springs, CO 80909-5599
Phone (719) 365-5120

5818 N Nevada Ave
Suite 100
Colorado Springs, CO 80918-3505
Phone (719) 365-7480

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008
  • Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326
  • San Luis Valley Health Conejos County Hospital Hospital, La Jara, CO, CCN 061308
  • Uchealth Grandview Hospital Hospital, Colorado Springs, CO, CCN 060130

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
43.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0072416COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Radiology & Imaging Consultants PC Diagnostic Radiology CurrentSince Jul 29, 2024 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
MCV Associated Physicians Diagnostic Radiology PastSince Sep 28, 2021 Accepting new patients

Locations (25 of 32)

2115 Stuart Ave
#A
Alamosa, CO 81101
Phone (719) 589-3000

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

175 S Union Blvd
Ste 340
Colorado Springs, CO 80910
Phone (719) 365-5242

9480 Briar Village Pt
Ste 200
Colorado Springs, CO 80920
Phone (719) 278-3627

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

5623 Pulpit Peak Vw
Colorado Springs, CO 80918
Phone (719) 272-3600

13510 Meadowgrass Dr
Colorado Springs, CO 80921
Phone (719) 364-7010

3843 Rio Vista Dr
Ste 1100
Colorado Springs, CO 80917
Phone (719) 364-4903

8115 Voyager Pkwy
Colorado Springs, CO 80920
Phone (719) 203-3300

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 722-2542

175 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 305-8000

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2770 N Powers Blvd
Colorado Springs, CO 80922
Phone (719) 638-3000

1370 Interquest Pkwy
Ste 110
Colorado Springs, CO 80921
Phone (719) 364-6600

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

Organizations & group practices 7

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1730685405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985023",
            "telephone_number": "804-828-6600",
            "fax_number": "804-828-6129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605000",
            "country_code": "US",
            "telephone_number": "804-443-6282",
            "fax_number": "804-828-6129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12300 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662131324",
            "country_code": "US",
            "telephone_number": "816-932-2549",
            "fax_number": "816-932-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5818 N Nevada Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183505",
            "country_code": "US",
            "telephone_number": "719-365-7480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANIC",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2026036120",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101289331",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35C.004461",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35C.004461",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KS",
            "license": "43-53621",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0072416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.