Individual provider Active NPI

James Mark Cooper, M.D.

  • Vascular & Interventional Radiology Physician
  • Springfield, VA
National Provider Identifier
1972694859
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101058206 Issued in VA
Practice address
8001 Forbes PL
Suite 103
Springfield, VA 22151-2208
Phone
(703) 824-3200
NPI assigned
Sep 27, 2006
Last updated
May 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101058206 VA Primary

Addresses

Primary practice location

8001 Forbes PL
Suite 103
Springfield, VA 22151-2208

Mailing address

PO Box 79537
Baltimore, MD 21279-0537
Phone (703) 824-3200

Other practice location 1

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1199

Other identifiers 2

IdentifierTypeStateIssuer
300089778OtherDCRR MEDICARE, COMPUTED TOMOGRAPHY ASSOCIATES
300088611OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110215000445 DC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6002096609 Reassigns benefits to 3 organizations
I20110401000880 VA Practitioner - Interventional RadiologyPractitioner - Interventional CardiologyPractitioner - Diagnostic Radiology 6002096609 Reassigns benefits to 4 organizations
I20240417003161 CT Practitioner - Diagnostic Radiology 6002096609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Practice addresses (Care Compare)

100 Elden St
Suite 16
Herndon, VA 20170-4841
Phone (703) 698-4488

19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 698-4444

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

4 Pidgeon Hill Dr
Sterling, VA 20165-6173
Phone (703) 698-4488

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

6355 Walker LN
Alexandria, VA 22310-3245
Phone (703) 698-4444

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (703) 204-8333

8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4232
Phone (703) 698-4488

9321 Sanger St
Lorton, VA 22079-2720
Phone (703) 698-4444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Radiological Consultants CurrentSince Jan 1, 2024 Accepting new patients
Sentara Medical Group CurrentSince Apr 7, 2024 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Jan 1, 2024 Accepting new patients
IHS Radiology Medical Group, Inc. Vascular & Interventional Radiology CurrentSince Feb 4, 2024 Accepting new patients
Ifrc, LLC CurrentSince Jan 1, 2024 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2024 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Jan 1, 2024 Accepting new patients
Computed Tomography Associates, PC Vascular & Interventional Radiology Past Accepting new patients

Locations

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

6355 Walker Ln
Alexandria, VA 22310
Phone (703) 664-7453

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

450 Springpark Pl
Ste 100
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

2300 Opitz Blvd
Ste G209
Woodbridge, VA 22191

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1972694859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79537",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790537",
            "telephone_number": "703-824-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FORBES PL",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512208",
            "telephone_number": "703-824-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-1199",
            "fax_number": "703-583-4923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101058206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE, COMPUTED TOMOGRAPHY ASSOCIATES",
            "identifier": "300089778",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300088611",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.