Individual provider Active NPI

Alexis Octavio Kladakis, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1831149137
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD31382 Issued in DC
Practice address
2141 K St NW
Ste 900
Washington, DC 20037-1810
Phone
(202) 223-9722
Fax
(703) 280-5098
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD31382 DC Primary
Specialist 174400000X MD31382 DC

Addresses

Primary practice location

2141 K St NW
Ste 900
Washington, DC 20037-1810

Mailing address

3015 Williams Dr
Ste 200
Fairfax, VA 22031-4623
Phone (703) 641-9133

Other names 1

  • Alex Kladakis Other name

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
I20050628001455 DC Practitioner - Diagnostic Radiology 7517903784 Reassigns benefits to 1 organization
I20120106000598 VA Practitioner - Diagnostic Radiology 7517903784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Radiology Assoc PLLCGroup PAC ID 8729972302, 36 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Suite 110
Arlington, VA 22201-4751
Phone (703) 280-1410

10215 Fernwood Rd
Bethesda, MD 20817-1183

1145 19TH St NW
Suite 101
Washington, DC 20036-3748
Phone (833) 443-9463

1145 19TH St NW
Suite 200
Washington, DC 20036-3737
Phone (571) 388-2754

12505 Park Potomac Ave
Suite 120
Potomac, MD 20854-6812
Phone (240) 223-4700

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (571) 388-2886

20410 Observation Dr
Suite 203
Germantown, MD 20876-4093
Phone (301) 298-1426

21351 Ridgetop Cir
Suite 100
Sterling, VA 20166-6608
Phone (571) 434-0140

2141 K St NW
Suite 200
Washington, DC 20037-1876
Phone (202) 223-9723

3022 Williams Dr
Fairfax, VA 22031-4600
Phone (703) 698-8800

4445 Willard Ave
Suite 200
Chevy Chase, MD 20815-3696
Phone (301) 654-4242

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31382DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Radiology Assoc PLLC Specialist CurrentSince Jul 1, 2000 Accepting new patients
Washington Radiology Associates, PLLC Specialist CurrentSince Jul 1, 2000 Accepting new patients

Locations

2141 K St NW
Ste 900
Washington, DC 20037
Phone (202) 223-9722

2141 K St NW
Ste 200
Washington, DC 20037
Phone (202) 223-9722

10215 Fernwood Rd
Ste 103
Bethesda, MD 20817
Phone (301) 564-1053

3015 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 641-9133

21351 Ridgetop Cir
Ste 100
Sterling, VA 20166
Phone (571) 434-0140

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1831149137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 WILLIAMS DR",
            "address_2": "STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314623",
            "telephone_number": "703-641-9133",
            "fax_number": "703-280-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 K ST NW",
            "address_2": "STE 900",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371810",
            "telephone_number": "202-223-9722",
            "fax_number": "703-280-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLADAKIS",
        "first_name": "ALEXIS",
        "middle_name": "OCTAVIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD31382",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD31382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "KLADAKIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.