Active NPI
Sherry L Pulaski, MD
- Diagnostic Radiology Physician
- Bethesda, MD
National Provider Identifier
1972587905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D0023673
- Practice address
- 10215 Fernwood Rd
Ste 50
Bethesda, MD 20817 - Phone
- (301) 564-1053
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 9800669 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 9800669 | NC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 9800669 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | D0023673 | MD | Primary |
Addresses
Primary practice location
10215 Fernwood Rd
Ste 50
Bethesda, MD 20817
Mailing address
3015 Williams Drive
Ste 200
Fairfax, VA 22031-4623
Phone (703) 641-9133
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25336 | Other | PARTNERS | |
| 300130863 | Other | RR MEDICARE | |
| 3002923000 | Medicaid | WV | |
| 81907 | Other | MEDCOST | |
| 7003032 | Other | AETNA | |
| 10691 | Other | BCBS | |
| 7208464 | Medicaid | VA | |
| 7910691 | Medicaid | NC | |
| Q0066D | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0023673 | MD | MD | Diagnostic Radiology Physician |
| 9800669 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Radiology Associates, PLLC | Past | Accepting new patients | |
| Washington Radiology Assoc PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Fairfax, VA
- NPI 1215985437
-
- Specialist
- Sterling, VA
- NPI 1407047905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1972587905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 WILLIAMS DRIVE",
"address_2": "STE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314623",
"telephone_number": "703-641-9133",
"fax_number": "703-280-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 FERNWOOD RD",
"address_2": "STE 50",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20817",
"telephone_number": "301-564-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULASKI",
"first_name": "SHERRY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NC",
"license": "9800669",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "9800669",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "9800669",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0023673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "25336",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300130863",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3002923000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "81907",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7003032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10691",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7208464",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7910691",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q0066D",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.