Individual provider Active NPI

Ajay S Sufi, M.D.

  • Diagnostic Radiology Physician
  • Olney, MD
National Provider Identifier
1861420861
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0059293 Issued in MD
Practice address
18111 Prince Philip Dr
T-20
Olney, MD 20832-1513
Phone
(301) 774-3400
NPI assigned
Jun 29, 2006
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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 D0059293 MD Primary
Vascular & Interventional Radiology Physician 2085R0204X D0059293 MD

Addresses

Primary practice location

18111 Prince Philip Dr
T-20
Olney, MD 20832-1513

Mailing address

4110 Aspen Hill Rd
Suite 200
Rockville, MD 20853-2853
Phone (301) 438-5150

Other identifiers 7

IdentifierTypeStateIssuer
010073588MedicaidVA
010073596MedicaidVA
010073618MedicaidVA
401414600MedicaidMD
010247501MedicaidVA
010073669MedicaidVA
034685300MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20040310001328 MD Practitioner - Diagnostic Radiology 2961301718 Reassigns benefits to 1 organization
I20040407000676 DC Practitioner - Diagnostic Radiology 2961301718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 620
Bethesda, MD 20817-1184
Phone (888) 601-0943

11120 New Hampshire Ave
Suite 100And105
Silver Spring, MD 20904-2678
Phone (888) 601-0943

1401 Rockville Pike
Suite 150
Rockville, MD 20852-1402
Phone (888) 601-0943

14999 Health Ctr Dr
Suite 102
Bowie, MD 20716-1075
Phone (888) 601-0943

15225 Shady Grove Rd
Suite 105
Rockville, MD 20850-3201
Phone (888) 601-0943

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (888) 601-0943

18103 Prince Philip Dr
Olney, MD 20832-1514
Phone (888) 601-0943

19851 Observation Dr
Suite 155
Germantown, MD 20876-4142
Phone (888) 601-0943

20528 Boland Farm Rd
Suite 110
Germantown, MD 20876-4032
Phone (888) 601-0943

3280 Urbana Pike
Suite 105
Ijamsville, MD 21754-9411
Phone (888) 601-0943

4000 Mitchellville Rd
Suite A100
Bowie, MD 20716-3123
Phone (888) 601-0943

504 E Ridgeville Blvd
Suite 130
Mount Airy, MD 21771-5942
Phone (888) 601-0943

7140 Contee Rd
Suite 2000
Laurel, MD 20707-9527
Phone (443) 436-1666

7211 Bank CT
Suite 100
Frederick, MD 21703-2807
Phone (888) 601-0943

7501 Greenway Ctr Dr
Suite 200And510
Greenbelt, MD 20770-3514
Phone (888) 601-0943

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (888) 601-0943

8926 Woodyard Rd
Suite 301 and 401
Clinton, MD 20735-4232
Phone (888) 601-0943

950 Harry S Truman Dr N
Suite 150
Upper Marlboro, MD 20774-5477
Phone (888) 601-3664

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince May 1, 2003 Accepting new patients
Dimensions Health Corporation Diagnostic Radiology Past Accepting new patients
Potomac Valley Orthopedic Assoc, Chartered Past Accepting new patients
Montgomery-Community Magnetic Imaging CNTR LTD Partnership Diagnostic Radiology Past Accepting new patients
Lima Radiological Associates Diagnostic Radiology Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Oct 27, 2024 Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

10215 Fernwood Rd
Ste 620
Bethesda, MD 20817
Phone (301) 530-6646

67 Thomas Johnson Dr
Ste 4
Frederick, MD 21702
Phone (301) 607-0444

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

18111 Prince Philip Dr
Ste T20
Olney, MD 20832
Phone (301) 774-3400

4110 Aspen Hill Rd
Ste 200
Rockville, MD 20853
Phone (301) 438-5150

1106 Spring St
Ste 101
Silver Spring, MD 20910
Phone (301) 585-0983

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1861420861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 ASPEN HILL RD",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532853",
            "telephone_number": "301-438-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR",
            "address_2": "T-20",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321513",
            "telephone_number": "301-774-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFI",
        "first_name": "AJAY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0059293",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D0059293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010073588",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010073596",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010073618",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401414600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010247501",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010073669",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034685300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.