Active NPI
Pankaj Nepal
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 290736
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 724-0288
- NPI assigned
- Jul 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 290736 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
1966 1St Ave Apt 4N
New York, NY 10029-6465
Phone (215) 584-3245
Other practice location 1
1901 1st Ave
New York, NY 10029-7404
Phone (212) 423-6771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488
3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488
4 Pidgeon Hill Dr
Sterling, VA 20165-6173
Phone (703) 698-4488
4001 Prince William Pkwy
Suite 302
Woodbridge, VA 22192-7667
Phone (703) 698-4444
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470
8081 Innovation Park Dr
Suite 204
Fairfax, VA 22031-4867
Phone (703) 698-9600
8505 Arlington Blvd
Suite 400
Fairfax, VA 22031-4636
Phone (703) 698-4484
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Reston MRI Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Reston MRI Center LLC | Current | Accepting new patients | |
| Ifrc, LLC | Current | Accepting new patients | |
| Fairfax Radiological Consultants | Diagnostic Radiology | Current | Accepting new patients |
Locations
8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670
3299 Woodburn Rd
Ste 110
Annandale, VA 22003
Phone (703) 849-9050
43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960
8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600
8081 Innovation Park Dr
Ste 204
Fairfax, VA 22031
Phone (703) 698-9600
8260 Willow Oaks Corporate Dr
Ste 750
Fairfax, VA 22031
Phone (703) 481-9400
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001
Interoperability endpoints
- pankaj.nepal@xdr.hhchealthdirect.org
Organizations & group practices 5
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.
-
- Specialist
- Falls Church, VA
- NPI 1114902509
DC, Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Herndon, VA
- NPI 1972838993
DC, Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Falls Church, VA
- NPI 1568593440
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Centreville, VA
- NPI 1417674821
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1902327562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1966 1ST AVE APT 4N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296465",
"telephone_number": "215-584-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-724-0288"
}
],
"practiceLocations": [
{
"address_1": "1901 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100297404",
"country_code": "US",
"telephone_number": "212-423-6771",
"fax_number": "212-423-6771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEPAL",
"first_name": "PANKAJ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-03",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "290736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.