NPIMap

Individual provider Active NPI

Peter H. Vangeertruyden, MD

  • Diagnostic Radiology Physician
  • Reston, VA
National Provider Identifier
1750522256
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101235747 Issued in VA
Practice address
11307 B Sunset Hills Road
Reston, VA 20190
Phone
(703) 652-1200
Fax
(703) 880-7401
NPI assigned
Mar 12, 2009
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101235747 VA Primary

Addresses

Primary practice location

11307 B Sunset Hills Road
Reston, VA 20190

Mailing address

11307 B Sunset Hills Road
Reston, VA 20190
Phone (703) 652-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090910000237 VA Practitioner - Diagnostic Radiology 9739231580 Reassigns benefits to 2 organizations
I20130309000031 TX Practitioner - Diagnostic Radiology 9739231580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Radiologists IncGroup PAC ID 5395640650, 124 clinicians

Practice addresses (Care Compare)

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 668-3231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235747VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Mar 23, 2021 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Nov 17, 2012 Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Aug 14, 2021 Accepting new patients
Las Cruces Physician Services LLC Diagnostic Radiology Past Accepting new patients
Artesia General Hospital Past Accepting new patients

Locations

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

600 Gresham Dr
Ste 700
Norfolk, VA 23507
Phone (757) 388-1700

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

6201 E Virginia Beach Blvd
Ste 104
Norfolk, VA 23502
Phone (757) 461-1433

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

5818 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 638-5800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1750522256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 B SUNSET HILLS ROAD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-652-1200",
            "fax_number": "703-880-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 B SUNSET HILLS ROAD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "20190",
            "telephone_number": "703-652-1200",
            "fax_number": "703-880-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGEERTRUYDEN",
        "first_name": "PETER",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101235747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.