Active NPI
Ross Diagnostic Imaging Medical Center LLC
- Radiography Radiologic Technologist
- Chesapeake, VA
National Provider Identifier
1871196212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- Legal business name
- ROSS DIAGNOSTIC IMAGING MEDICAL CENTER LLC
- Practice address
- 1325 Oleander Ave
Chesapeake, VA 23325-3745 - Phone
- (213) 431-0393
- NPI assigned
- Nov 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Weerasinghe
- Title
- Operations Manager
- Phone
- (213) 431-0393
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | |||
| Radiography Radiologic Technologist | 2471C3402X | Primary | ||
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X |
Addresses
Primary practice location
1325 Oleander Ave
Chesapeake, VA 23325-3745
Mailing address
1325 Oleander Ave
Chesapeake, VA 23325-3745
Phone (213) 431-0393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396344859 | Other | VA | NPPES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | TheWeb | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210413002450 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133537012 | Practice locations: Chesapeake, VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiography Radiologic Technologist
- Chesapeake, VA
- NPI 1396344859
Computed Tomography
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605657600000",
"number": "1871196212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 OLEANDER AVE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233253745",
"telephone_number": "213-431-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 OLEANDER AVE",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233253745",
"telephone_number": "213-431-0393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSS DIAGNOSTIC IMAGING MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A",
"authorized_official_last_name": "WEERASINGHE",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "213-431-0393"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Computed Tomography",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": null,
"license": null,
"primary": true
},
{
"code": "2471M1202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1396344859",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "TheWeb",
"affiliation": "N",
"endpointDescription": "AdvancedMD Platform",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "1325 Oleander Ave",
"city": "Chesapeake",
"state": "VA",
"country_code": "US",
"postal_code": "233253745",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.