MEDICAL IMAGING OF FREDERICKSBURG
NPI 1013950112
Clinic/Center - Radiology in Fredericksburg, VA
About Medical Imaging Of Fredericksburg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL IMAGING OF FREDERICKSBURG (NPI 1013950112) is a healthcare organization registered as a radiology in Fredericksburg, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 28, 2026, maintains 3 additional practice locations, and lists Roni Faisal Talukdar, Mif President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 4
Secondary Practice Locations 3
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Imaging Of Fredericksburg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
55Medicare enrollment records show 55 clinicians reassign Medicare billing to Medical Imaging Of Fredericksburg, which bills Medicare for the services they deliver. Of these, 33 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 55Fredericksburg, VA 22401
Fredericksburg, VA 22401
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D1091309
Medical Imaging Of Fredericksburg · Fredericksburg, VAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Medical Imaging Of Fredericksburg, LLC's NPI number?
The NPI number for Medical Imaging Of Fredericksburg, LLC is 1013950112. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is doing business as Medical Imaging Of Fredericksburg, Imaging Center for Women at North Stafford, Medical Imaging of Embrey Mill and Medical Imaging of Harrison Crossing.
Where is Medical Imaging Of Fredericksburg, LLC located?
Medical Imaging Of Fredericksburg, LLC is located at 1201 Sam Perry Blvd Ste 102, Fredericksburg, VA 22401. The listed phone number is (540) 741-7025.
What is Medical Imaging Of Fredericksburg, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Medical Imaging Of Fredericksburg, LLC enrolled in Medicare?
Yes. Medical Imaging Of Fredericksburg, LLC is registered in the Medicare PECOS enrollment system.
When is Medical Imaging Of Fredericksburg, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Medical Imaging Of Fredericksburg, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 3 Medicare specialties reassign their Medicare billing to Medical Imaging Of Fredericksburg, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (47), Interventional Radiology (7) and Interventional Cardiology (1). Of these, 33 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medical Imaging Of Fredericksburg, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D1091309) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Medical Imaging Of Fredericksburg, LLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Medical Imaging Of Fredericksburg · NPI 1013950112
Radiology organization in Fredericksburg, Virginia. Organization record, active in the CMS NPPES registry since June 14, 2006.
## Identity
- **NPI:** 1013950112 (Entity type: Organization)
- **Enumerated:** June 14, 2006
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Legal business name:** Medical Imaging Of Fredericksburg, Llc
- **Also known as:** Imaging Center for Women at North Stafford (Doing Business As); Medical Imaging of Embrey Mill (Doing Business As); Medical Imaging of Harrison Crossing (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Roni Talukdar, MIF PRESIDENT
## Practice location
- **Address:** 1201 SAM PERRY BLVD STE 102, Fredericksburg, VA 22401-4490
- **Phone:** (540) 741-7025
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Virginia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 55 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (47), Interventional Radiology (7), Interventional Cardiology (1); 33 practice within 10 miles; [full list](https://npiprofile.com/npi/1013950112/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2024
- **Other identifiers:** Other 317546 (VA); Other 292008 (VA); Other 3165 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013950112) · Data from the CMS NPPES public registry.