Advanced Radiology P a
Organization Active NPI Diagnostic Radiology Physician · Owings Mills, MD
NPI 1932167178 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1932167178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 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
- Organization subpart
- No
Authorized official
- Name
- David I Safferman, MD
- Title
- President and Ceo
- Phone
- (443) 436-1215
Other NPIs on the same Medicare enrollment 2
Subparts reporting this organization as parent 54
Practitioners 259
-
Edward Ahn, M.D.
-
Recai Aktay, MD
-
Jerjis T Alajaji, MD
-
Daniel Aronson, MD
-
Anirudh Arun, M.D.
-
Abimbola Ayoola, M.D
-
Oluwaseun Babalola, M.D.
-
Paul Bailey, MD
-
Anmoldeep Singh Bajaj, M.D.
-
Randy Becker, MD
-
Joan Ellen Berkowitz, M.D.
-
Victor Alfred Bracey, M.D.
-
Troy A Brijbasi, MD
-
Denaye D Brown, MD
-
Zuzana Chamrova, M.D.
-
Wengen Chen, MD
-
Anna Cherian, M.D.
-
Donna T Decosta, MD
-
Manjiri Mukund Didolkar, MD, MS
-
Vasken Dilsizian, M.D.
-
David M Elder, MD
-
Inci Semra Engin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (33 enrollments) 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, SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
26999 Network Pl
Chicago, IL 60673
269999 Network Pl
Chicago, IL 60673
600 Ridgely Ave
Ste 100
Annapolis, MD 21401
Phone (410) 224-2644
7501 Osler Dr
#204B
Baltimore, MD 21204
Phone (410) 580-6000
1700 Reisterstown Rd
Ste 112
Baltimore, MD 21208
Phone (410) 486-8000
4211 Blakely Ave
Ste 100
Baltimore, MD 21236
Phone (410) 918-3150
910 Frederick Rd
Ste Ll
Catonsville, MD 21228
724 Maiden Choice Ln
Ste 302
Catonsville, MD 21228
10285 Little Patuxent Pkwy
Ste 450
Columbia, MD 21044
Phone (410) 343-4337
7801 Elvaton Ct
Glen Burnie, MD 21061
Phone (410) 362-3330
203 Hospital Dr
Ste 100
Glen Burnie, MD 21061
Phone (410) 580-6000
1312 Bellona Ave
Ste 102
Lutherville, MD 21093
Phone (410) 921-3378
21 Crossroads Dr
Ste 100
Owings Mills, MD 21117
Phone (410) 353-8186
7501 Osler Dr
Ste 204B
Towson, MD 21204
6701 N Charles St
#3103
Towson, MD 21204
Phone (410) 580-2300
193 Stoner Ave
Ste 200
Westminster, MD 21157
Phone (410) 876-9898
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician |
207U00000X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 991125100 | Medicaid | MD | |
| 234721100 | Medicaid | MD |
Other providers in Owings Mills, MD
- Advanced Pain Management Specialists LLC
- Advanced Pain Management Specialists, LLC
- Advanced Pain Management Specialists, LLC
- Advanced Pain Management Specialists, LLC
- Advanced Pain Management Specialists, LLC
- Advanced Radiology P a
- Advantage Rehabilitation SVCS MD LLC
- Aksana Afanasenka
- Affya Health & Wellnes, LLC
- Olakunle Olalekan Afolabi
All providers in Owings Mills, MD · Diagnostic Radiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.