Individual provider Active NPI

Daryl R Fanney, M.D.

  • Diagnostic Radiology Physician
  • Virginia Beach, VA
National Provider Identifier
1922081538
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101045547 Issued in VA
Practice address
4668 Pembroke Blvd
Suite 117
Virginia Beach, VA 23455-6423
Phone
(757) 671-1144
Fax
(757) 671-1265
NPI assigned
Nov 29, 2005
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101045547 VA Primary

Addresses

Primary practice location

4668 Pembroke Blvd
Suite 117
Virginia Beach, VA 23455-6423

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
380544OtherVAANTHEM BC/BS PROV#
007213905MedicaidVA
890524YMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000794 VA Practitioner - Diagnostic Radiology 3779536883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Radiologists IncGroup PAC ID 5395640650, 124 clinicians

Practice addresses (Care Compare)

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 668-3231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Mar 23, 2021 Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Aug 5, 2020 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Aug 26, 2021 Accepting new patients
Charles Hecht-Leavitt MD, P.C. Diagnostic Radiology Past Accepting new patients
First Meridian Medical LLC Diagnostic Radiology PastSince May 1, 1997 Accepting new patients

Locations

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

600 Gresham Dr
Ste 700
Norfolk, VA 23507
Phone (757) 388-1700

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

6201 E Virginia Beach Blvd
Ste 104
Norfolk, VA 23502
Phone (757) 461-1433

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

5544 Greenwich Rd
Ste 200
Virginia Beach, VA 23462

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1922081538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4668 PEMBROKE BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556423",
            "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": "4668 PEMBROKE BLVD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556423",
            "telephone_number": "757-671-1144",
            "fax_number": "757-671-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNEY",
        "first_name": "DARYL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101045547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROV#",
            "identifier": "380544",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007213905",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890524Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.