Individual provider Active NPI

Steven Robert Breault, M.D.

  • Diagnostic Radiology Physician
  • Norfolk, VA
National Provider Identifier
1922274034
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2011-00064 Issued in NC
Practice address
110 Kingsley LN
Suite 305
Norfolk, VA 23505-4614
Phone
(757) 889-5422
Fax
(757) 889-5422
NPI assigned
May 8, 2008
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23705 NV
Diagnostic Radiology Physician 2085R0202X 2011-00064 NC Primary

Addresses

Primary practice location

110 Kingsley LN
Suite 305
Norfolk, VA 23505-4614

Mailing address

110 Kingsley LN
Suite 305
Norfolk, VA 23505-4614
Phone (757) 889-5422

Other practice location 1

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AZ, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130730000642 VA Practitioner - Diagnostic Radiology 3678738044 Reassigns benefits to 10 organizations
I20240906001552 AZ Practitioner - Diagnostic Radiology 3678738044 Reassigns benefits to 1 organization
I20250217000565 DC Practitioner - Diagnostic Radiology 3678738044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Drexel University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reston Radiology Consultants, PCGroup PAC ID 1557436730, 35 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

24440 Stone Springs Blvd
Sterling, VA 20166-2247
Phone (703) 726-1201

3501 N Scottsdale Rd
Suite 130
Scottsdale, AZ 85251-5649
Phone (480) 425-5000

832 Quail Pointe CV
Virginia Beach, VA 23454-3156
Phone (480) 306-6949

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as group
Quality
84.62
Improvement activities
40
Cost
76.68

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-00064NCMDDiagnostic Radiology Physician
23705NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Diagnostic Radiology CurrentSince Dec 21, 2025 Accepting new patients
MRI of Reston, LP Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Reston Radiology Consultants, PC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Kingsley Lane Anatomic Pathology Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Radiology One Medical Group PC Diagnostic Radiology CurrentSince Oct 13, 2025 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Mar 30, 2023 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology PastSince Jan 5, 2022 Accepting new patients

Locations

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 849-0115

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

9700 N 91st St
Ste C200
Scottsdale, AZ 85258
Phone (480) 240-9738

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

3560 E Flamingo Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 343-3610

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1800 Town Center Dr
Ste 115
Reston, VA 20190
Phone (703) 478-0922

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

4330 Brambleton Ave
Roanoke, VA 24018
Phone (540) 283-3700

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

582 Lynnhaven Pkwy
Ste 301
Virginia Beach, VA 23452
Phone (757) 916-9631

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1922274034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN",
            "address_2": "SUITE 305",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054614",
            "telephone_number": "757-889-5422",
            "fax_number": "757-889-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN",
            "address_2": "SUITE 305",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054614",
            "telephone_number": "757-889-5422",
            "fax_number": "757-889-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021576",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREAULT",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "23705",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2011-00064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.