Modern Vascular of Fairfax, LLC
NPI 1821553108ActiveOrganization· Radiology, Vascular & Interventional Radiology· Fairfax, VA
Radiology, Vascular & Interventional Radiology in Fairfax, Virginia, registered in NPPES in January 2019. The authorized official on file is Yury Gampel, Manager.
Overview
| NPI | 1821553108 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2019 |
| Last updated in NPPES | Jan 31, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | — | — |
| Radiologic Technologist, Vascular-Interventional Technology | 2471V0106X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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