Individual provider Active NPI

Andrew William Loftus, MD

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1952462426
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101233165 Issued in VA
Practice address
8261 Willow Oaks Corporate Dr
Kpic
Fairfax, VA 22031-4512
Phone
(703) 205-3600
Fax
(703) 205-3650
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD057925L PA
Diagnostic Radiology Physician 2085R0202X MD33074 DC
Diagnostic Radiology Physician 2085R0202X 0101233165 VA Primary

Addresses

Primary practice location

8261 Willow Oaks Corporate Dr
Kpic
Fairfax, VA 22031-4512

Mailing address

2101 East Jefferson Street Ppqa Medicare Compliance Uni
Kaiser Permanente 6 West Attn Theresa Brooks
Rockville, MD 20852-4908
Phone (301) 816-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090922000630 DC Practitioner - Diagnostic Radiology 1052331386 Reassigns benefits to 1 organization
I20101111000224 MD Practitioner - Diagnostic Radiology 1052331386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Open MRI IncGroup PAC ID 8426037169, 3 clinicians

Practice addresses (Care Compare)

15005 Shady Grove Rd
Suite 110
Rockville, MD 20850-6341
Phone (301) 424-4888

25 Crossroads Dr
Suite 180
Owings Mills, MD 21117-5485
Phone (410) 356-0343

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD33074DCMDDiagnostic Radiology Physician
MD057925LPAMDDiagnostic Radiology Physician
0101233165VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Open MRI Inc Diagnostic Radiology CurrentSince Sep 6, 2022 Accepting new patients
Washington Open MRI Inc PastSince Sep 6, 2022 Accepting new patients
Washington Open MRI Inc PastSince Sep 13, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Past Accepting new patients

Locations

25 Crossroads Dr
Ste 180
Owings Mills, MD 21117
Phone (410) 356-0343

6196 Oxon Hill Rd
Ste 110
Oxon Hill, MD 20745
Phone (301) 424-4888

15005 Shady Grove Rd
Ste 110
Rockville, MD 20850
Phone (301) 424-4888

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952462426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI",
            "address_2": "KAISER PERMANENTE 6 WEST ATTN THERESA BROOKS",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-6660",
            "fax_number": "301-816-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 WILLOW OAKS CORPORATE DR",
            "address_2": "KPIC",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314512",
            "telephone_number": "703-205-3600",
            "fax_number": "703-205-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD057925L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD33074",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101233165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.