ALEX P. PAVIDAPHA M.D
NPI 1053799585
Radiology - Vascular & Interventional Radiology in Reston, VA

Active since May 17, 2015PECOS EnrolledAccepts Medicare Assignment
78.3/100
CMS Quality Rating
1801 ROBERT FULTON DRIVE, SUITE 510, RESTON, VA 20191(703) 783-5355 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2024, Apr 9, 2024, Mar 4, 2024 and 1 more (4 updates tracked since 2021).

About Alex P. Pavidapha M.d NPPES

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

ALEX P. PAVIDAPHA M.D (NPI 1053799585) is an individual vascular & interventional radiology provider in Reston, Virginia, licensed in Virginia (0101273549) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053799585
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameALEX P. PAVIDAPHACredential: M.D
Location Address1801 ROBERT FULTON DRIVE, SUITE 510Reston, VA 20191-5481
Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 17, 2015
Last NPPES UpdateJune 3, 20244 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
NPI 1053799585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses Licensed in VA · 0101273549 Licensed in MA · 287471
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 0101273549 (VA), 287471 (MA)
1801 ROBERT FULTON DRIVE, SUITE 510, Reston, VA 20191

Secondary Practice Locations 2

Location 119500 Sandridge Way Ste 300Leesburg, VA 20176-3690 · Phone (703) 783-5355
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-3850

Other Identifiers 2

Medicaid1053799585VA
Medicaid30017438440001VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alex P. Pavidapha 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 ID2769774801
PECOS Enrollment IDI20220211001177, I20220217001960
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.

Areas of Expertise CMS Part B claims 24

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.
19,548 services185 patients
Review by radiologist of additional artery image 75774
This procedure involves a radiologist examining an extra image of your artery. It's done to gain more insight into your vascular health. The radiologist will study the image to identify any abnormalities or issues that may need further medical attention.
1,424 services215 patients
Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond 36248
This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. It's done to improve blood flow or deliver medication. If more than one tube is needed, each additional insertion is done separately.
1,279 services222 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
637 services246 patients
Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch 36247
This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.
420 services223 patients
Injection, cefazolin sodium, 500 mg J0690
Cefazolin sodium is an antibiotic injection used to treat a variety of bacterial infections. By stopping the growth of bacteria, this medication helps in the treatment of infections. The 500 mg dosage refers to the strength of the medicine.
308 services160 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.01
Promoting Interoperability98
Improvement Activities40
Cost67.31

Other Providers at the Same Location NPPES 3

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

Radiology (Vascular & Interventional Radiology)
1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA 20191
Radiology (Vascular & Interventional Radiology)
1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA 20191
Radiology (Vascular & Interventional Radiology)
1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA 20191

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 Alex Pavidapha's NPI number?

The NPI number for Alex Pavidapha is 1053799585. It was assigned to this individual provider in the NPPES registry on May 17, 2015.

Where is Alex Pavidapha located?

Alex Pavidapha practices at 1801 Robert Fulton Drive, Suite 510, Reston, VA 20191. The listed phone number is (703) 783-5355.

What is Alex Pavidapha's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Alex Pavidapha enrolled in Medicare?

Yes. Alex Pavidapha 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.

When was this NPI record last updated?

The NPPES record for Alex Pavidapha was last updated on June 3, 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.