Individual provider Active NPI

Douglas Hidlay, M.D.

  • Vascular & Interventional Radiology Physician
  • Charlottesville, VA
National Provider Identifier
1801208749
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101269235 Issued in VA
Practice address
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone
(434) 654-7000
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60941274 WA
Diagnostic Radiology Physician 2085R0202X LP03119 RI
Vascular & Interventional Radiology Physician 2085R0204X 60941274 WA
Vascular & Interventional Radiology Physician 2085R0204X 0101269235 VA Primary

Addresses

Primary practice location

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668

Mailing address

3048 Enterprise Dr
State College, PA 16801-2755
Phone (434) 654-7114

Other practice location 1

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IN, KY, WA, AK5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200727000157 VA Practitioner - Interventional Radiology 2567689938 Reassigns benefits to 6 organizations
I20240926000260 IN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2567689938 Reassigns benefits to 1 organization
I20241127000450 KY Practitioner - Diagnostic Radiology 2567689938 Reassigns benefits to 1 organization
I20250403003081 WA Practitioner - Diagnostic Radiology 2567689938 Reassigns benefits to 6 organizations
I20250423000799 AK Practitioner - Diagnostic Radiology 2567689938 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Radiology Consultants P aGroup PAC ID 3678471943, 70 clinicians
Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians
Skagit Radiology Inc P SGroup PAC ID 7113815218, 39 clinicians
Evansville Radiology PCGroup PAC ID 6406826031, 31 clinicians

Practice addresses (Care Compare)

1405 Trinity Way
Crozet, VA 22932-3183
Phone (239) 343-2000

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-6161

23089 Affirmed Park Court
Middleburgh, VA 20117
Phone (812) 422-3254

350 W Columbia St
Suite 420
Evansville, IN 47710-1782
Phone (812) 422-3254

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.35 of 100Reported as group
Quality
83.39
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
53.19 of 100Reported as group
Quality
19.09
Promoting interoperability
100
Improvement activities
0
Cost
74.87

Merit-based Incentive Payment System (MIPS)

Final score
86.57 of 100Reported as group
Quality
91.69
Improvement activities
40
Cost
70.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP03119RIMDDiagnostic Radiology Physician
MD60941274WAMDDiagnostic Radiology Physician
0101269235VAMDVascular & Interventional Radiology Physician
60941274WAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skagit Radiology Inc P S Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Fairbanks Medical Imaging LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Charlottesville Radiology LTD Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Summit Imaging Services LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Bath County Community Hospital CurrentSince Nov 1, 2021 Accepting new patients
Evansville Radiology PC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Apr 20, 2025 Accepting new patients
Bellingham Advanced Medical Imaging LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
North Star Medical Imaging PLLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients

Locations (25 of 43)

2310 Peger Rd
Ste 102
Fairbanks, AK 99709

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

19511 Highland Oaks Dr
Estero, FL 33928

329 W Columbia St
Evansville, IN 47710
Phone (812) 450-7455

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

8600 N Kentucky Ave
Evansville, IN 47725
Phone (812) 426-9565

4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161

533 W Columbia St
Evansville, IN 47710
Phone (812) 450-8350

120 SE 4th St
Evansville, IN 47708
Phone (812) 426-6638

350 W Columbia St
Ste 420
Evansville, IN 47710
Phone (812) 450-5000

520 Mary St
Ste 140
Evansville, IN 47710
Phone (812) 424-1200

1900 W 4th St
Mount Vernon, IN 47620
Phone (812) 838-4891

4219 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9545

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4087 Gateway Blvd
Newburgh, IN 47630
Phone (812) 585-0080

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

1414 W Broadway St
Princeton, IN 47670
Phone (812) 385-5283

3434 W State Road 66
Rockport, IN 47635
Phone (812) 627-7007

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1813 Willow St
Unit 3A
Vincennes, IN 47591
Phone (812) 885-8941

406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

Organizations & group practices 11

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 7

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1801208749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 ENTERPRISE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012755",
            "telephone_number": "434-654-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "434-654-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "834 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682443",
            "country_code": "US",
            "telephone_number": "360-385-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDLAY",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60941274",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "LP03119",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "60941274",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101269235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.