NPIMap

Organization Active NPI

Physician Imaging of Washington Hospital Center, LLC

  • Diagnostic Radiology Physician
  • Chevy Chase, MD
National Provider Identifier
1760083281
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC
Practice address
5530 Wisconsin Ave Ste 1010
Chevy Chase, MD 20815-4324
Phone
(615) 261-2306
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL, GA, NJ, CA, IL, MI, PA, SC, IN, LA11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.