Active NPI
Physician Imaging of Washington Hospital Center, LLC
Doing business as MedStar Radiology Network at Chevy Chase
- Diagnostic Radiology Physician
- Chevy Chase, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC
- Doing business as
- MedStar Radiology Network at Chevy Chase
- Practice address
- 5530 Wisconsin Ave Ste 1010
Chevy Chase, MD 20815-4324 - Phone
- (615) 261-2306
- NPI assigned
- Nov 2, 2020
- Last updated
- Oct 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Stout
- Title
- President/Ceo
- Phone
- (615) 261-2306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
5530 Wisconsin Ave Ste 1010
Chevy Chase, MD 20815-4324
Mailing address
800 Crescent Centre Dr Ste 400
Franklin, TN 37067-7270
Phone (615) 261-2306
Other names 1
- MedStar Radiology Network at Chevy Chase
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, FL, GA, NJ, CA, IL, MI, PA, SC, IN, LA
Enrollment records 11
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080229000143 | DC | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 151 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20220503000805 | FL | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 6 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tampa, FL; Summerland Key, FL; St Petersburg, FL; Port Orange, FL; Naples, FL; Parkland, FL; Clearwater, FL; Miami, FL… |
| O20220714002589 | GA | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 1 practitioner 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, GA |
| O20220818001689 | NJ | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 2 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Denville, NJ; New Brunswick, NJ |
| O20230711002781 | CA | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 4 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Santa Barbara, CA; San Diego, CA; Los Angeles, CA |
| O20230712002380 | IL | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 2 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL |
| O20230809000644 | MI | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 3 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ann Arbor, MI; Birmingham, MI; Bloomfield Township, MI |
| O20230830003383 | PA | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 1 practitioner 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: King of Prussia, PA |
| O20231009001399 | SC | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 1 practitioner 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Piedmont, SC; Simpsonville, SC |
| O20240719000081 | IN | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 1 practitioner 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Indianapolis, IN |
| O20241217000285 | LA | Part B Supplier - Clinic/Group Practice | 6204910292 |
Receives reassigned benefits from 2 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alexandria, LA; Baton Rouge, LA |
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba MedStar Radiology Network at Rockville
- Radiology Clinic/Center
- Rockville, MD
- NPI 1326648346
O20080229000143, O20220503000805, O20220714002589, O20220818001689, O20230711002781, O20230712002380, O20230809000644, O20230830003383, O20231009001399, O20240719000081, O20241217000285
-
dba MedStar Radiology Network at Barlow
- Radiology Clinic/Center
- Chevy Chase, MD
- NPI 1831385871
O20080229000143, O20220503000805, O20220714002589, O20220818001689, O20230711002781, O20230712002380, O20230809000644, O20230830003383, O20231009001399, O20240719000081, O20241217000285
-
dba MedStar Radiology Network of Olney
- Radiology Clinic/Center
- Olney, MD
- NPI 1134895436
O20080229000143, O20220503000805, O20220714002589, O20220818001689, O20230711002781, O20230712002380, O20230809000644, O20230830003383, O20231009001399, O20240719000081, O20241217000285
-
dba MedStar Radiology Network at Brandywine
- Radiology Clinic/Center
- Brandywine, MD
- NPI 1346604295
O20080229000143, O20220503000805, O20220714002589, O20220818001689, O20230711002781, O20230712002380, O20230809000644, O20230830003383, O20231009001399, O20240719000081, O20241217000285
-
dba MedStar Radiology Network at Bel Air
- Radiology Clinic/Center
- Bel Air, MD
- NPI 1700246022
O20080229000143, O20220503000805, O20220714002589, O20220818001689, O20230711002781, O20230712002380, O20230809000644, O20230830003383, O20231009001399, O20240719000081, O20241217000285
-
dba Medstar Radiology Network at Timonium
- Radiology Clinic/Center
- Timonium, MD
- NPI 1790211811
O20080229000143, O20220503000805, O20220714002589, O20220818001689, O20230711002781, O20230712002380, O20230809000644, O20230830003383, O20231009001399, O20240719000081, O20241217000285
-
dba MRN Chevy Chase at Barlow
- Radiology Clinic/Center
- Bethesda, MD
- NPI 1902632078
O20080229000143, O20220503000805, O20220714002589, O20220818001689, O20230711002781, O20230712002380, O20230809000644, O20230830003383, O20240719000081, O20241217000285
-
dba Medstar Radiology Network at Lafayette
- Radiology Clinic/Center
- Washington, DC
- NPI 1144677741
O20080229000143, O20220503000805, O20220714002589, O20220818001689, O20230711002781, O20230712002380, O20230809000644, O20230830003383, O20231009001399, O20240719000081, O20241217000285
-
dba MedStar Radiology Network at Foxhall
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1588204614
O20080229000143, O20220503000805, O20220714002589, O20220818001689, O20230711002781, O20230712002380, O20230809000644, O20230830003383, O20231009001399, O20240719000081, O20241217000285
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1730144387
-
- Vascular & Interventional Radiology Physician
- Annapolis, MD
- NPI 1093977415
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1538571856
-
- Diagnostic Radiology Physician
- Grand Blanc, MI
- NPI 1134333727
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1780864033
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1043535065
-
- Diagnostic Radiology Physician
- Albany, NY
- NPI 1164628467
-
- Diagnostic Radiology Physician
- Charlottesville, VA
- NPI 1639330046
-
- Diagnostic Radiology Physician
- NPI 1598028771
-
- Vascular & Interventional Radiology Physician
- Chester, PA
- NPI 1861848590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1760083281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CRESCENT CENTRE DR STE 400",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677270",
"telephone_number": "615-261-2306",
"fax_number": "855-588-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE STE 1010",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208154324",
"telephone_number": "615-261-2306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-02",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "STOUT",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "615-261-2306"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedStar Radiology Network at Chevy Chase",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MedStar Radiology Network at Chevy Chase",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chevy Chase, MD
- India Pettus, PA-C
- Philip D. Bobrow MD PA
- Physical Medicine Associates, LTD
- Physical Medicine Associates, LTD (National Spine and Pain Centers)
- Physician Imaging of Washington Hospital Center LLC (MedStar Radiology Network at Barlow)
- Physiotherapy Associates, Inc. (NovaCare Rehabilitation)
- Carlos E Picone, M.D.
- Steve Richard Pieczenik, M.D. PHD
- Lorelyn Pierola
- Pierre S Gordon MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.