NPIMap

Organization Active NPI

Olney Open MRI LLC

Doing business as Progressive Radiology

  • Diagnostic Radiology Physician
  • Olney, MD
National Provider Identifier
1912044314
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
OLNEY OPEN MRI LLC
Doing business as
Progressive Radiology
Practice address
3300 Olney Sandy Spring Rd
Suite 100
Olney, MD 20832-1494
Phone
(301) 260-2971
Fax
(301) 260-7971
NPI assigned
Feb 1, 2007
Last updated
Sep 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Adam Starr
Title
Ceo
Phone
(703) 667-8612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Radiography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471C3402X MD

Addresses

Primary practice location

3300 Olney Sandy Spring Rd
Suite 100
Olney, MD 20832-1494

Mailing address

PO Box 64354
Baltimore, MD 21264
Phone (703) 667-8612

Other identifiers 1

IdentifierTypeStateIssuer
403940801MedicaidMD

Other names 1

  • Progressive Radiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220822000329 PA Part B Supplier - Clinic/Group Practice 8325939127 Receives reassigned benefits from 1 practitioner
Practice locations: New Hope, PA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

900 23rd St NW
Ste G2092
Washington, DC 20037
Phone (202) 715-4750

3300 Olney Sandy Spring Rd
Ste 1B
Olney, MD 20832
Phone (202) 785-8750

3300 Olney Sandy Spring Rd
Ste 100
Olney, MD 20832
Phone (301) 260-2971

1201 Seven Locks Rd
Ste 100
Rockville, MD 20854
Phone (301) 424-1781

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1912044314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64354",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21264",
            "telephone_number": "703-667-8612",
            "fax_number": "703-970-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OLNEY SANDY SPRING RD",
            "address_2": "SUITE 100",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321494",
            "telephone_number": "301-260-2971",
            "fax_number": "301-260-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLNEY OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-667-8612"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403940801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.