Organization Active NPI

Radiologic Associates of Fredericksburg LTD

Doing business as Virginia Interventional Vascular Associates

  • Radiology Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1780792978
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD
Doing business as
Virginia Interventional Vascular Associates
Practice address
10401 Spotsylvania Ave Ste 203
Fredericksburg, VA 22408-8609
Phone
(540) 361-1000
Fax
(540) 361-7010
NPI assigned
Aug 28, 2006
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Christopher Meyer, MDNPI 1326097973
Title
President
Phone
(540) 361-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

10401 Spotsylvania Ave Ste 203
Fredericksburg, VA 22408-8609

Mailing address

PO Box 825855
Philadelphia, PA 19182-5855
Phone (540) 361-1000

Other names 1

  • Virginia Interventional Vascular Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000436 VA Part B Supplier - Clinic/Group Practice 2567447261 Receives reassigned benefits from 66 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

10401 Spotsylvania Ave
Ste 200
Fredericksburg, VA 22408
Phone (540) 842-6884

1201 Sam Perry Blvd
Ste 265
Fredericksburg, VA 22401
Phone (540) 361-2922

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1780792978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825855",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825855",
            "telephone_number": "540-361-1000",
            "fax_number": "540-361-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE STE 203",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088609",
            "telephone_number": "540-361-1000",
            "fax_number": "540-361-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGIC ASSOCIATES OF FREDERICKSBURG LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-361-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Interventional Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Virginia Interventional Vascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.