Active NPI
Philip Panic, MD
- Diagnostic Radiology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101289331
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- San Luis Valley Regional Medical Center
- Uchealth Pikes Peak Regional Hospital
- San Luis Valley Health Conejos County Hospital
- Uchealth Grandview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.92 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 43.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0072416 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology & Imaging Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lutheran Hospital Association of the San Luis Valley | Current | Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Current | Accepting new patients | |
| MCV Associated Physicians | Diagnostic Radiology | Past | 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.
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
- NPI 1598700825
-
- Diagnostic Radiology Physician
- Broomfield, CO
- NPI 1396210902
-
- Orthopaedic Surgery Physician
- La Jara, CO
- NPI 1063690600
-
- Diagnostic Radiology Physician
- Highlands Ranch, CO
- NPI 1043162142
-
- Radiology Clinic/Center
- Colorado Springs, CO
- NPI 1922784503
Diagnostic Radiology
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- La Jara, CO
- NPI 1194792762
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1073172201
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1124518113
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1144397134
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1154030732
-
- General Acute Care Hospital
- Fountain, CO
- NPI 1295225274
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1316506231
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1407532559
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1518526441
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1538958400
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1578053567
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.