Organization Active NPI

Diagnostic Medical Imaging PA

  • Diagnostic Radiology Physician
  • Silver Spring, MD
National Provider Identifier
1962412007
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DIAGNOSTIC MEDICAL IMAGING PA
Practice address
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone
(301) 754-7361
Fax
(301) 681-7609
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Anil K Narang, DONPI 1710991377
Title
President
Phone
(301) 754-7361

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1500 Forest Glen Rd
Silver Spring, MD 20910

Mailing address

PO Box 79470
Baltimore, MD 21279-0470
Phone (866) 953-5869

Other practice location 1

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6600

Other identifiers 2

IdentifierTypeStateIssuer
961131200MedicaidMD
020894200MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, WA, MD, VA, AL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20031222000052 DC Part B Supplier - Clinic/Group Practice 7719885342 Receives reassigned benefits from 6 practitioners
Practice locations: Rockville, MD; Silver Spring, MD; Potomac, MD; Mitchellville, MD; Burtonsville, MD; Germantown, MD; Laurel, MD; MC Lean, VA…
O20170206001325 WA Part B Supplier - Clinic/Group Practice 7719885342 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA
O20170227000159 MD Part B Supplier - Clinic/Group Practice 7719885342 Receives reassigned benefits from 8 practitioners
Practice locations: Columbia, MD; Highland, MD
O20170418001744 VA Part B Supplier - Clinic/Group Practice 7719885342 Receives reassigned benefits from 2 practitioners
Practice locations: Norfolk, VA; Williamsburg, VA; Danville, VA
O20220908000645 AL Part B Supplier - Clinic/Group Practice 7719885342 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

8720 Georgia Ave
Silver Spring, MD 20910
Phone (301) 526-3359

1500 Forest Glen Rd
#1230
Silver Spring, MD 20910
Phone (301) 754-7361

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1962412007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79470",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790470",
            "telephone_number": "866-953-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-754-7361",
            "fax_number": "301-681-7609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19801 Observation Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764070",
            "country_code": "US",
            "telephone_number": "301-557-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAGNOSTIC MEDICAL IMAGING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "NARANG",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-754-7361",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961131200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020894200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.