SUMMER R HERLIHY M.D.
NPI 1043458847
Radiology - Diagnostic Radiology in Kensington, MD

Active since February 02, 2009PECOS EnrolledAccepts Medicare Assignment
10810 CONNECTICUT AVE, KENSINGTON, MD 20895(202) 853-1155 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2021, Jun 1, 2021 (2 updates tracked since 2021).

About Summer R Herlihy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMER R HERLIHY M.D. (NPI 1043458847) is an individual diagnostic radiology provider in Kensington, Maryland, licensed in Georgia (88146) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfax, and is a graduate of University Of Virginia School Of Medicine (2004).

NPPES Registry Identity

NPI1043458847
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSUMMER R HERLIHYCredential: M.D.
Location Address10810 CONNECTICUT AVEKensington, MD 20895-2138
Mailing Address10810 Connecticut AveKensington, MD 20895-2138
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2004
Enumeration DateFebruary 2, 2009
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1043458847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in GA · 88146✔ Licensed in VA · 0101248956✔ Licensed in DC · MD042530✔ Licensed in MD · D78509✔ Licensed in CT · 048380
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
10810 CONNECTICUT AVE, Kensington, MD 20895

Secondary Practice Location 1

Location 14001 Fair Ridge Drive, Suite 103Fairfax, VA 22033-2917 · Phone (703) 385-5203 · Fax (703) 385-3058

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Summer R Herlihy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749313880
PECOS Enrollment IDI20110613000566, I20110630000042, I20150415001500
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Summer Herlihy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
10410 NORTH KENSINGTON PARKWAY
Kensington, MD 20895
  • Reassigned Medicare billing, District of Columbia, Virginia and Maryland enrollments
  • Also billed through NPI 1225156367 (Virginia), NPI 1285752121 (Maryland)
  • 2,492 clinicians in this Medicare group
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,200 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20895 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
10810 CONNECTICUT AVE
KENSINGTON, MD 20895
Podiatrist (Foot & Ankle Surgery)
10810 CONNECTICUT AVE, KENSINGTON MEDICAL CENTER
KENSINGTON, MD 20895
Podiatrist
10810 CONNECTICUT AVE, KAISER PERMANENTE KENSINGTON MEDICAL CENTER
KENSINGTON, MD 20895
Obstetrics & Gynecology
10810 CONNECTICUT AVE
KENSINGTON, MD 20895
Pharmacist
10810 CONNECTICUT AVE
KENSINGTON, MD 20895
Internal Medicine
10810 CONNECTICUT AVE
KENSINGTON, MD 20895
Plastic Surgery
10810 CONNECTICUT AVE
KENSINGTON, MD 20895
Pain Medicine (Interventional Pain Medicine)
10810 CONNECTICUT AVE
KENSINGTON, MD 20895

Frequently 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 Summer Herlihy's NPI number?

The NPI number for Summer Herlihy is 1043458847. It was assigned to this individual provider in the NPPES registry on February 2, 2009.

Where is Summer Herlihy located?

Summer Herlihy practices at 10810 Connecticut Ave, Kensington, MD 20895. The listed phone number is (202) 853-1155.

What is Summer Herlihy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Summer Herlihy enrolled in Medicare?

Yes. Summer Herlihy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Summer Herlihy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summer Herlihy reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Kensington, MD) and The Southeast Permanente Medical Group (Atlanta, GA). Each 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 Summer Herlihy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Summer Herlihy was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.