Individual provider Active NPI

Nicholas B Caruana, M.D.

  • Vascular & Interventional Radiology Physician
  • Leesburg, VA
National Provider Identifier
1760617435
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101256314 Issued in VA
Practice address
19500 Sandridge Way, Suite 420
Leesburg, VA 20176-3467
Phone
(571) 375-8601
Fax
(571) 223-6773
NPI assigned
May 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 0101256314 VA Primary

Addresses

Primary practice location

19500 Sandridge Way, Suite 420
Leesburg, VA 20176-3467

Mailing address

224-D Cornwall Street, NW, Suite 403
Suite 101
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other practice location 1

21785 Filigree Ct
Suite 101
Ashburn, VA 20147-6213
Phone (703) 726-1201

Other identifiers 1

IdentifierTypeStateIssuer
1760617435MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150515000421 DC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1153641121 Reassigns benefits to 4 organizations
I20150728003414 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1153641121 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Georgetown University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians
Loudoun Imaging Center/Ashburn LLCGroup PAC ID 0042371429, 15 clinicians
Reston Radiology Consultants, PCGroup PAC ID 1557436730, 35 clinicians
Fair Oaks Imaging Center PCGroup PAC ID 7113918426, 17 clinicians
Roanoke Imaging LLCGroup PAC ID 9436215662, 18 clinicians

Practice addresses (Care Compare)

19500 Sandridge Way
Suite 420
Lansdowne, VA 20176-3697
Phone (703) 737-6010

20905 Professional PLZ
Suite 100
Ashburn, VA 20147-3409
Phone (571) 223-0230

24440 Stone Springs Blvd
Sterling, VA 20166-2247
Phone (703) 726-1201

4001 Fair Ridge Dr
Suite 103
Fairfax, VA 22033-2917
Phone (703) 385-5203

4330 Brambleton Ave
Roanoke, VA 24018-3405
Phone (540) 283-3700

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • Stonesprings Hospital Center Hospital, Dulles, VA, CCN 490145
  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Lewisgale Hospital Alleghany Hospital, Low Moor, VA, CCN 490126

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as group
Quality
0
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
76.68

Merit-based Incentive Payment System (MIPS)

Final score
75.84 of 100Reported as group
Quality
51.68
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Apr 1, 2021 Accepting new patients
Fair Oaks Imaging Center, PC CurrentSince Jul 1, 2015 Accepting new patients
MRI of Reston, LP CurrentSince Jul 1, 2015 Accepting new patients
Reston Radiology Consultants, PC CurrentSince Jul 1, 2015 Accepting new patients
Pet of Reston, LP CurrentSince Jul 1, 2015 Accepting new patients
Loudoun Medical Group, PC CurrentSince Apr 1, 2021 Accepting new patients
Loudoun Imaging Center/Ashburn, LLC CurrentSince Jul 1, 2015 Accepting new patients

Locations

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

20905 Professional Plz
Ste 100
Ashburn, VA 20147
Phone (571) 223-0230

21785 Filigree Ct
Ste 101
Ashburn, VA 20147
Phone (571) 919-2897

4001 Fair Ridge Dr
Ste 103
Fairfax, VA 22033
Phone (703) 385-5203

19500 Sandridge Way
Ste 460
Leesburg, VA 20176
Phone (571) 206-0767

19500 Sandridge Way
Ste 420
Leesburg, VA 20176
Phone (571) 375-8601

44055 Riverside Pkwy
Ste 208
Leesburg, VA 20176
Phone (703) 729-7652

224D Cornwall St NW
Ste 101
Leesburg, VA 20176
Phone (866) 707-5337

1830 Town Center Dr
Ste 105
Reston, VA 20190
Phone (571) 601-2901

1800 Town Center Dr
Ste 115
Reston, VA 20190
Phone (703) 478-0922

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

4330 Brambleton Ave
Roanoke, VA 24018
Phone (540) 283-3700

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Organizations & group practices 8

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1243123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1760617435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW, SUITE 403",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY, SUITE 420",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763467",
            "telephone_number": "571-375-8601",
            "fax_number": "571-223-6773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21785 Filigree Ct",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201476213",
            "country_code": "US",
            "telephone_number": "703-726-1201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUANA",
        "first_name": "NICHOLAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-24",
        "last_updated": "2022-11-29",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101256314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760617435",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.