Woodburn Nuclear Medicine, Ltd
NPI 1659435055ActiveOrganization· Nuclear Medicine· Annandale, VA
Nuclear Medicine in Annandale, Virginia, registered in NPPES in December 2006. The authorized official on file is Tracy Prince, Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1659435055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2006 |
| Last updated in NPPES | Apr 13, 2026 |
| Certified by provider | Apr 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nuclear Medicine Primary | 207U00000X | — | — |
| Clinic/Center | 261Q00000X | 0101041611 | VA |
| Clinic/Center, Radiology | 261QR0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (NY) |
|---|
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