Organization Active NPI

Advanced Radiology P a

  • Diagnostic Radiology Physician
  • Owings Mills, MD
National Provider Identifier
1932167178
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED RADIOLOGY P A
Practice address
21 Crossroads Dr Ste 100
Owings Mills, MD 21117-5484
Phone
(888) 972-9700
Fax
(443) 436-1500
NPI assigned
May 3, 2006
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
David I Safferman, MDNPI 1285670919
Title
President and Ceo
Phone
(443) 436-1215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

21 Crossroads Dr Ste 100
Owings Mills, MD 21117-5484

Mailing address

10461 Mill Run Cir Ste 1200
Owings Mills, MD 21117-4204
Phone (443) 436-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, CO, DE, PA, VA, FL, TX, AL, HI, CA, NY, WA, AZ, NE, NV, MN, NC, CT, KS, WI, MA, WV, ID, TN, KY, MO, MI, UT, VT, SC, IA, SD33 enrollments

Enrollment records 33

Enrollment IDStateProvider typePAC IDDetails
O20040420001334 MD Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 133 practitioners
O20131115000220 DC Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 12 practitioners
2 other NPIs on this enrollment
Practice locations: Fort Washington, MD; Vienna, VA; Silver Spring, MD; Reston, VA; Mitchellville, MD; Laurel, MD; Kensington, MD; Falls Church, VA…
O20131125001115 CO Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 3 practitioners
Practice locations: Boulder, CO; Carbondale, CO; Loveland, CO
O20131204001794 DE Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Rehoboth Beach, DE
O20131205000719 PA Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 3 practitioners
Practice locations: Mechanicsburg, PA; Danville, PA; Alburtis, PA
O20131210001373 VA Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 3 practitioners
Practice locations: Gainesville, VA; Henrico, VA; Middleburg, VA; Virginia Beach, VA
O20131212000177 FL Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 8 practitioners
Practice locations: Clermont, FL; Port St Lucie, FL; Naples, FL; Gulf Breeze, FL; Miami Beach, FL; Dunnellon, FL; Estero, FL
O20131223000121 TX Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 3 practitioners
Practice locations: Tyler, TX; Houston, TX; Garland, TX; Dallas, TX
O20140106001076 AL Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL
O20140603002649 HI Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20140618001862 CA Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 10 practitioners
Practice locations: Vista, CA; Upland, CA; Santa Rosa Valley, CA; San Rafael, CA; San Diego, CA; Sacramento, CA; Redlands, CA; Oceanside, CA…
O20140822000327 NY Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 9 practitioners
Practice locations: Pound Ridge, NY; Washingtonville, NY; Orchard Park, NY; New York, NY; Larchmont, NY; Ithaca, NY; Hewlett, NY
O20160927001734 WA Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 4 practitioners
Practice locations: Woodinville, WA; Redmond, WA; Newcastle, WA; Gold Bar, WA; Arlington, WA
O20170124002217 AZ Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 4 practitioners
Practice locations: Flagstaff, AZ; Gilbert, AZ; Peoria, AZ; Tucson, AZ
O20180216002197 NE Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, NE
O20180219002869 NV Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV; Reno, NV
O20180307001408 MN Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Sartell, MN
O20180316000691 NC Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 3 practitioners
Practice locations: Lenoir, NC; Raleigh, NC; Mills River, NC
O20180330000476 CT Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 3 practitioners
Practice locations: Canton, CT; Greenwich, CT; West Hartford, CT
O20180711000164 KS Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Concordia, KS
O20180726000287 WI Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Westport, WI
O20190308002558 MA Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Mattapoisett, MA; Arlington, MA
O20201130002807 WV Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Morgantown, WV
O20210423000930 ID Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID; Kimberly, ID
O20220218001872 TN Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 3 practitioners
Practice locations: Kingsport, TN; Memphis, TN; Rockwood, TN
O20230427001534 KY Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20230710000962 MO Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 2 practitioners
Practice locations: Amity, MO; Saint Louis, MO
O20230711004034 MI Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 4 practitioners
Practice locations: Grand Blanc, MI; Midland, MI; Traverse City, MI; Brighton, MI
O20250714003904 UT Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT
O20251118002096 VT Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, VT
O20260207000515 SC Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC
O20260513001853 IA Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Waukee, IA
O20260520001005 SD Part B Supplier - Clinic/Group Practice 1254327950 Receives reassigned benefits from 1 practitioner
Practice locations: Ethan, SD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

26999 Network Pl
Chicago, IL 60673

269999 Network Pl
Chicago, IL 60673

122 Defense Hwy
Ste 102
Annapolis, MD 21401

1576 Merritt Blvd
Ste 1
Baltimore, MD 21222
Phone (410) 918-3150

7501 Osler Dr
#204B
Baltimore, MD 21204
Phone (410) 580-6000

9101 Franklin Square Dr
Ste 102
Baltimore, MD 21237
Phone (410) 574-3636

201 Plumtree Rd
Ste 101
Bel Air, MD 21015
Phone (410) 569-3640

724 Maiden Choice Ln
Ste 102
Catonsville, MD 21228
Phone (410) 747-9303

724 Maiden Choice Ln
Ste 302
Catonsville, MD 21228

910 Frederick Rd
Ste Ll
Catonsville, MD 21228

8820 Columbia 100 Pkwy
Ste 100
Columbia, MD 21045
Phone (443) 436-4100

7556 Teague Rd
Ste 200
Hanover, MD 21076
Phone (443) 729-8100

9110 Philadelphia Rd
Ste 114
Rosedale, MD 21237
Phone (443) 579-0144

6701 N Charles St
#3103
Towson, MD 21204
Phone (410) 580-2300

Ownership & related parties

Subparts reporting this organization as parent 54

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 54

Practitioners & affiliated clinicians

Practitioners 259

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 259

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1932167178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 MILL RUN CIR STE 1200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174204",
            "telephone_number": "443-436-1116",
            "fax_number": "443-436-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR STE 100",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175484",
            "telephone_number": "888-972-9700",
            "fax_number": "443-436-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RADIOLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-04-09",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "SAFFERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "443-436-1215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.