Individual provider Active NPI

Mark E Vaughn, MD

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1932158573
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101235223 Issued in VA
Practice address
2810 N Parham Rd Ste 315
Richmond, VA 23294-4424
Phone
(804) 288-8327
Fax
(804) 282-3744
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101235223 VA
Diagnostic Ultrasound Physician 2085U0001X 0101235223 VA
Pediatric Radiology Physician 2085P0229X 0101235223 VA
Diagnostic Radiology Physician 2085R0202X 0101235223 VA Primary
Body Imaging Physician 2085B0100X 0101235223 VA
Neuroradiology Physician 2085N0700X 0101235223 VA
Nuclear Radiology Physician 2085N0904X 0101235223 VA

Addresses

Primary practice location

2810 N Parham Rd Ste 315
Richmond, VA 23294-4424

Mailing address

2810 N Parham Rd Ste 315
Richmond, VA 23294-4424
Phone (804) 288-8327

Other identifiers 2

IdentifierTypeStateIssuer
1932158573MedicaidVA
224564OtherVAANTHEM

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
I20050627001476 VA Practitioner - Diagnostic Radiology 3476598673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Radiology PCGroup PAC ID 9830142496, 52 clinicians

Practice addresses (Care Compare)

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 288-8327

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Rappahannock General Hospital Hospital, Kilmarnock, VA, CCN 491308
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

Merit-based Incentive Payment System (MIPS)

Final score
89.43 of 100Reported as group
Quality
96.22
Improvement activities
40
Cost
71.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235223VAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Radiology P C Body Imaging CurrentSince Jul 1, 2005 Accepting new patients

Locations (25 of 32)

306 Ashcake Rd
Ste C
Ashland, VA 23005
Phone (804) 798-2908

920 S Main St
Blackstone, VA 23824
Phone (434) 292-7261

281 E Hundred Rd
Chester, VA 23836
Phone (804) 452-1635

436 Clairmont Ct
Ste 101
Colonial Heights, VA 23834
Phone (804) 504-4631

439 Jennick Dr
Colonial Hgts, VA 23834
Phone (804) 504-7937

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

7041 Lee Park Rd
Mechanicsvlle, VA 23111
Phone (804) 723-3337

601 Watkins Centre Pkwy
Ste 150
Midlothian, VA 23114
Phone (804) 893-8484

13700 St Francis Blvd
Ste 305
Midlothian, VA 23114
Phone (804) 320-2483

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

13540 Hull Street Rd
Midlothian, VA 23112
Phone (804) 595-1400

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

210 Medical Park Blvd
Ste 150
Petersburg, VA 23805
Phone (804) 765-5206

210 Medical Park Blvd
Ste 275
Petersburg, VA 23805
Phone (804) 765-5886

4630 S Laburnum Ave
Ste C
Richmond, VA 23231
Phone (804) 226-2444

12320 W Broad St
Richmond, VA 23233
Phone (513) 752-8000

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230
Phone (804) 288-8102

6605 W Broad St
Ste B
Richmond, VA 23230
Phone (804) 281-0215

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

2810 N Parham Rd
Ste 315
Richmond, VA 23294

Organizations & group practices 1

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1932158573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944424",
            "telephone_number": "804-288-8327",
            "fax_number": "804-282-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N PARHAM RD STE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944424",
            "telephone_number": "804-288-8327",
            "fax_number": "804-282-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101235223",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VA",
            "license": "0101235223",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101235223",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101235223",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101235223",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101235223",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101235223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932158573",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "224564",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.