Pet of Reston, LP

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PET OF RESTON, LP

Practice address

1830 Town Center Drive
Suite 105
Reston, VA 20190-3237

Phone

(571) 601-2901

Fax

(571) 577-4142

NPI assigned

Jul 14, 2006

Last updated

Apr 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Atkin, MBA, MIS, CPHIMS

Title

Ceo

Phone

(703) 726-1201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Reston Hospital Center, LLC

  dba Reston Hospital Center

  • Rehabilitation Hospital Unit
  • Reston, VA
  • NPI 1538650999

  Member Of

  NPD member

Locations

Practitioners 49

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.

• Jeremy Michael Bernot, M.D.

  • Diagnostic Radiology Physician
  • Fort Belvoir, VA
  • NPI 1972845519

  DC

  Medicare reassignment Care Compare group NPD
• David Thomas Boyd, M.D., M.B.A.

  • Diagnostic Neuroimaging (Radiology) Physician
  • Leesburg, VA
  • NPI 1265688048

  DC, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Gavin Blair Gore

  • Diagnostic Radiology Physician
  • Leesburg, VA
  • NPI 1316189608

  DC

  Medicare reassignment Care Compare group NPD
• Ziyad Khalil Haddad, MD

  • Diagnostic Radiology Physician
  • Leesburg, VA
  • NPI 1356329965

  DC

  Medicare reassignment Care Compare group NPD
• Karan Lotfi, M.D.

  • Diagnostic Radiology Physician
  • Leesburg, VA
  • NPI 1073604294

  DC

  Medicare reassignment Care Compare group NPD
• Brandt Paul Currier, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1275982902

  DC

  Medicare reassignment Care Compare group NPD
• Jhanavi Rama Rao

  • Neuroradiology Physician
  • Washington, DC
  • NPI 1316517147
  Medicare reassignment Care Compare group NPD
• Nicholas B Caruana, M.D.

  • Vascular & Interventional Radiology Physician
  • Leesburg, VA
  • NPI 1760617435

  DC

  Medicare reassignment NPD
• Scott E Cassar, MD

  • Diagnostic Radiology Physician
  • Leesburg, VA
  • NPI 1003822115

  DC

  Medicare reassignment NPD
• Arun Kumar, MD

  • Diagnostic Radiology Physician
  • Leesburg, VA
  • NPI 1326256678

  DC

  Medicare reassignment NPD
• Brandon J. Langlinais, M.D.

  • Diagnostic Radiology Physician
  • Blacksburg, VA
  • NPI 1982779716

  DC

  Medicare reassignment NPD
• Grace Mang Yuet Ma, M.D

  • Pediatric Radiology Physician
  • Leesburg, VA
  • NPI 1548520984

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1922024041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 207421",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207421",
            "telephone_number": "703-726-1201",
            "fax_number": "703-726-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DRIVE",
            "address_2": "SUITE 105",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903237",
            "telephone_number": "571-601-2901",
            "fax_number": "571-577-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET OF RESTON, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-726-1201",
        "authorized_official_credential": "MBA, MIS, CPHIMS"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfectly Female Women Health Care (Evelyn S Felluca, MD)
• Laura Lynn Peritore, OTR/L
• Tracy Boller Perkins, PA-C
• Christopher R Perron, D.C.
• Personalmed Virginia Pharmacy Services
• Jon D Peters, M.D.
• Elizabeth Pettit, MD
• Alexandra Mary Petze, ATC CHES
• Gabrielle Pham-Che, DPT
• Hanah Hanh Pham, DDS

• Diagnostic Radiology Physician in Reston, VA
• Providers in Reston, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.