NPIMap

Organization Active NPI

First Meridian Medical LLC

Doing business as MRI & CT Diagnostics

  • Diagnostic Radiology Physician
  • Chesapeake, VA
National Provider Identifier
1881677425
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
035285-8049 Issued in VA
Legal business name
FIRST MERIDIAN MEDICAL LLC
Doing business as
MRI & CT Diagnostics
MRI 7 CT Diagnostics
Practice address
1554 River Birch Run N
Chesapeake, VA 23320-7500
Phone
(757) 671-1144
Fax
(757) 671-1265
NPI assigned
Nov 29, 2005
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Tracey E Carter
Title
Manager
Phone
(757) 965-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 035285-8049 VA Primary

Addresses

Primary practice location

1554 River Birch Run N
Chesapeake, VA 23320-7500

Mailing address

1554 River Birch Run N
Chesapeake, VA 23320-7500
Phone (757) 671-1144

Other practice location 1

229 Clearfield Ave Ste 100
Virginia Beach, VA 23462-1815
Phone (757) 671-1144

Other practice location 2

4668 Pembroke Blvd
Suite 117
Virginia Beach, VA 23455-6423
Phone (757) 671-1144 ext. 143

Other identifiers 3

IdentifierTypeStateIssuer
7244744MedicaidVA
DE2222OtherVARAILROAD MEDICARE
C02878OtherVAMEDICARE

Other names 2

  • MRI & CT Diagnostics Doing business as
  • MRI 7 CT DIAGNOSTICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203000377 VA Part B Supplier - Clinic/Group Practice 5092766352 Receives reassigned benefits from 25 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chesapeake, VA; Virginia Beach, VA

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
First Meridian Medical LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1881677425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 RIVER BIRCH RUN N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233207500",
            "telephone_number": "757-671-1144",
            "fax_number": "757-671-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 RIVER BIRCH RUN N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233207500",
            "telephone_number": "757-671-1144",
            "fax_number": "757-671-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Clearfield Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621815",
            "country_code": "US",
            "telephone_number": "757-671-1144",
            "fax_number": "757-671-1152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4668 Pembroke Blvd",
            "address_2": "Suite 117",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556423",
            "country_code": "US",
            "telephone_number": "757-671-1144 x143",
            "fax_number": "757-671-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST MERIDIAN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-965-4151"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "035285-8049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7244744",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE2222",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C02878",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI & CT Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MRI & CT Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MRI 7 CT DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 4, 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.

Verify at the official NPI Registry.