Organization Active NPI

Inova Health Care Services

Doing business as Radiology Imaging Associates

  • Diagnostic Radiology Physician
  • Waldorf, MD
National Provider Identifier
1851829550
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INOVA HEALTH CARE SERVICES
Doing business as
Radiology Imaging Associates
Practice address
11335 Pembrooke SQ Ste 101
Waldorf, MD 20603
Phone
(301) 932-4522
NPI assigned
May 25, 2017
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
INOVA HEALTH CARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Alice Pope
Title
Chief Financial Officer
Phone
(703) 289-2048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

11335 Pembrooke SQ Ste 101
Waldorf, MD 20603

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

8926 Woodyard Rd Ste 401
Clinton, MD 20735-4233
Phone (301) 856-2430

Other practice location 2

8926 Woodyard Rd Ste 301
Clinton, MD 20735-4232
Phone (301) 856-3670

Other practice location 3

230 W Dares Beach Rd
Prince Frederick, MD 20678-3150
Phone (301) 855-9754

Other practice location 4

4 Pidgeon Hill Dr
Sterling, VA 20165-6173
Phone (703) 450-5800

Other practice location 5

19455 Deerfield Avenue
Suite 102
Landsdowne, VA 20176
Phone (703) 858-0001

Other practice location 6

3833 N. Fairfax Drive
Suite 110
Arlington, VA 22203-1773
Phone (703) 665-6690

Other practice location 7

3833 N. Fairfax Drive
Suite 120
Arlington, VA 22203-1773
Phone (703) 665-6690

Other identifiers 1

IdentifierTypeStateIssuer
1851829550MedicaidVA

Other names 1

  • Radiology Imaging Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040102000644 DC Part B Supplier - Clinic/Group Practice 2466351093 Receives reassigned benefits from 2,835 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20080806000696 VA Part B Supplier - Clinic/Group Practice 2466351093 Receives reassigned benefits from 2,570 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20160209000188 MD Part B Supplier - Clinic/Group Practice 2466351093 Receives reassigned benefits from 59 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prince Frederick, MD; Waldorf, MD; Lutherville Timonium, MD; Hagerstown, MD; Frederick, MD; Baltimore, MD

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Part of
Fair Oak Hospital

Locations

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

3620 Joseph Siewick Dr
Ste 200
Fairfax, VA 22033
Phone (703) 525-3069

6400 Arlington Blvd
Ste 200
Falls Church, VA 22042
Phone (703) 531-3100

Practitioners & affiliated clinicians

Practitioners 540

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 540

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1851829550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 PEMBROOKE SQ STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20603",
            "telephone_number": "301-932-4522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8926 Woodyard Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207354233",
            "country_code": "US",
            "telephone_number": "301-856-2430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8926 Woodyard Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207354232",
            "country_code": "US",
            "telephone_number": "301-856-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Dares Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783150",
            "country_code": "US",
            "telephone_number": "301-855-9754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Pidgeon Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201656173",
            "country_code": "US",
            "telephone_number": "703-450-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19455 Deerfield Avenue",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Landsdowne",
            "state": "VA",
            "postal_code": "20176",
            "country_code": "US",
            "telephone_number": "703-858-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3833 N. Fairfax Drive",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031773",
            "country_code": "US",
            "telephone_number": "703-665-6690",
            "fax_number": "703-665-6691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3833 N. Fairfax Drive",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031773",
            "country_code": "US",
            "telephone_number": "703-665-6690",
            "fax_number": "703-665-6691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INOVA HEALTH CARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INOVA HEALTH CARE SERVICES",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "703-289-2048"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851829550",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology Imaging Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.