Fairfax Radiological Consultants
NPI 1114902509ActiveOrganization· Specialist· Falls Church, VA
Specialist in Falls Church, Virginia, registered in NPPES in December 2005. The authorized official on file is Kim Masters, Chief Operating Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1114902509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2005 |
| Last updated in NPPES | Feb 2, 2026 |
| Certified by provider | Feb 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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