Individual provider Active NPI

Kyle Veloso Panzer, MD

  • Vascular & Interventional Radiology Physician
  • Ashburn, VA
National Provider Identifier
1790246916
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101285320 Issued in VA
Practice address
20116 Ashbrook PL Ste 150
Ashburn, VA 20147-5087
Phone
(703) 385-5203
NPI assigned
Mar 29, 2019
Last updated
Jun 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101285320 VA Primary

Addresses

Primary practice location

20116 Ashbrook PL Ste 150
Ashburn, VA 20147-5087

Mailing address

Abington Memorial Hospital
1200 Old York Road
Abington, PA 19001-3788

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
I20250625000792 DC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1658606835 Reassigns benefits to 4 organizations
I20250702003194 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1658606835 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reston Radiology Consultants, PCGroup PAC ID 1557436730, 35 clinicians
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians
Loudoun Imaging Center/Ashburn LLCGroup PAC ID 0042371429, 15 clinicians
Fair Oaks Imaging Center PCGroup PAC ID 7113918426, 17 clinicians
Roanoke Imaging LLCGroup PAC ID 9436215662, 18 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 478-0922

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101285320VAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Oaks Imaging Center, PC CurrentSince Aug 1, 2025 Accepting new patients
MRI of Reston, LP CurrentSince Aug 1, 2025 Accepting new patients
Reston Radiology Consultants, PC CurrentSince Aug 1, 2025 Accepting new patients
Loudoun Imaging Center/Ashburn, LLC CurrentSince Aug 1, 2025 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2025 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2025 Accepting new patients
Pet of Reston, LP CurrentSince Aug 1, 2025 Accepting new patients
Reston Radiology Consultants Interventional Services, LLC Vascular & Interventional Radiology PastSince Aug 1, 2025 Accepting new patients

Locations

20116 Ashbrook Pl
Ste 150
Ashburn, VA 20147
Phone (703) 385-5203

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

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

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

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

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

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

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

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 9

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 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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1790246916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ABINGTON MEMORIAL HOSPITAL",
            "address_2": "1200 OLD YORK ROAD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20116 ASHBROOK PL STE 150",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475087",
            "telephone_number": "703-385-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZER",
        "first_name": "KYLE",
        "middle_name": "VELOSO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101285320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.