NPIMap

Individual provider Active NPI

Charles Michael Citrin, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1932182730
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD6783 Issued in DC
Practice address
3301 New Mexico Ave NW
Suite 106
Washington, DC 20016-3622
Phone
(202) 966-0606
Fax
(202) 244-6757
NPI assigned
Nov 25, 2005
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 MD6783 DC Primary

Addresses

Primary practice location

3301 New Mexico Ave NW
Suite 106
Washington, DC 20016-3622

Mailing address

7799 Leesburg Pike
Suite 1000 N
Falls Church, VA 22043-2408
Phone (703) 667-8600

Other identifiers 3

IdentifierTypeStateIssuer
300135381OtherRR MEDICARE
054381100MedicaidMD
470001526OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD6783DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHC of Washington, L.L.C. PastSince Apr 30, 2003 Accepting new patients
Washington Open MRI Inc Past Accepting new patients
Washington Imaging Associates of DC, LLC Diagnostic Radiology Past Accepting new patients
Washington ENT Group PLLC Past Accepting new patients
Open Advanced MRI Portland III, LLC Diagnostic Radiology PastSince Feb 15, 2002 Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
Washington Open MRI Inc Diagnostic Radiology PastSince Jan 1, 2005 Accepting new patients
Washington Open MRI Inc Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients
Washington Open MRI Inc Past Accepting new patients
Progressive MRI, LLC Diagnostic Radiology Past Accepting new patients
Olney Open MRI LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1932182730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7799 LEESBURG PIKE",
            "address_2": "SUITE 1000 N",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432408",
            "telephone_number": "703-667-8600",
            "fax_number": "703-667-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW",
            "address_2": "SUITE 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163622",
            "telephone_number": "202-966-0606",
            "fax_number": "202-244-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRIN",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD6783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300135381",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054381100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "470001526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.