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

Q: 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.

Q: What is Alex Pavidapha's specialty?

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

Q: 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.

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: October 25, 2026.

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

On this page

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

Phone(703) 783-5355

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

Open in Google Maps ↗

Secondary Practice Locations 2

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-3850

Location 219500 Sandridge Way Ste 300Leesburg, VA 20176-3690 · Phone (703) 783-5355

Other Identifiers 2

Medicaid1053799585VA

Medicaid30017438440001VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Alex Pavidapha reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Loudoun Medical Group, PC

Same address

Vascular & Interventional Radiology

1801 ROBERT FULTON DRIVE, SUITE 510
Reston, VA 20191

Reassigned Medicare billing, District of Columbia and Virginia enrollments
Also billed through NPI 1366566788 (Virginia)
135 clinicians in this Medicare group

NPI 1669147583 (703) 783-5355

Gastroenterology Associates Of Northern Virginia, LLC

5.1 mi

Gastroenterology

3700 JOSEPH SIEWICK DR., SUITE 308
Fairfax, VA 22033

Reassigned Medicare billing, District of Columbia and Virginia enrollments
110 clinicians in this Medicare group

NPI 1205884368 (703) 716-8700

Anderson Clinic LLC

15 mi

Orthopaedic Surgery

2800 S SHIRLINGTON RD STE 1100
Arlington, VA 22206

Reassigned Medicare billing, District of Columbia enrollment
91 clinicians in this Medicare group

NPI 1568488799 (703) 892-6500

Gastrointestinal Specialists LLC

21 mi

Urology

2296 OPITZ BLVD STE 350
Woodbridge, VA 22191

Reassigned Medicare billing, District of Columbia and Virginia enrollments
Medicare enrollment name: Potomac Urology Center, LLC
18 clinicians in this Medicare group

NPI 1861588592 (703) 680-2111

Gastrointestinal Specialists LLC

94 mi

Gastroenterology

2369 STAPLES MILL RD, SUITE 200
Richmond, VA 23230

Reassigned Medicare billing, District of Columbia and Virginia enrollments
36 clinicians in this Medicare group

NPI 1063516672 (804) 285-4465

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 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

Injection, midazolam hydrochloride, per 1 mg J2250

Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).

288 services171 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

274 services263 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

260 services253 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

232 services231 patients

Occlusion of growths or obstructed vessels with review by radiologist 37243

This procedure involves blocking abnormal growths or blocked vessels in your body. A radiologist, a doctor specialized in imaging techniques, will review the process. The aim is to improve your health by preventing these issues from causing further complications.

201 services201 patients

Review by radiologist of abdominal artery image 75726

This procedure involves a radiologist examining an image of your abdominal artery. The goal is to identify any abnormalities or issues that might impact your health. It's a non-invasive method that provides valuable information about your body's circulatory system.

199 services198 patients

Occlusion of artery with review by radiologist 37242

This procedure involves blocking an artery to manage certain conditions. A radiologist, a doctor specialized in imaging techniques, reviews the process to ensure accuracy and effectiveness. It's a safe, controlled method used in various treatments.

178 services172 patients

Injection, fentanyl citrate, 0.1 mg J3010

Fentanyl citrate is a potent pain medication administered via injection. The 0.1 mg dosage is used to manage severe pain conditions. It works by blocking pain signals to the brain. It's crucial to follow the dosage instructions to prevent potential side effects.

177 services154 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

132 services123 patients

Injection, ondansetron hydrochloride, per 1 mg J2405

Ondansetron hydrochloride is a medication given via injection to help prevent nausea and vomiting, often due to chemotherapy or surgery. It works by blocking certain chemicals in the body that trigger these symptoms.

72 services18 patients

Review by radiologist of urinary bladder image 74430

This procedure involves a specialist, known as a radiologist, examining an image of your urinary bladder. It's done to investigate any irregularities or concerns. The image is obtained using safe and non-invasive techniques. The radiologist's review helps to provide accurate diagnosis and treatment plans.

40 services21 patients

Occlusion of artery or vein bleeding with review by radiologist 37244

This is a procedure where a radiologist identifies and stops bleeding from an artery or vein using imaging techniques. It's a non-surgical method that helps control blood loss, promoting quicker recovery and less discomfort.

36 services19 patients

Review by radiologist of pelvis artery image 75736

This procedure involves a radiologist examining images of your pelvic arteries. These images help identify any abnormalities or blockages that could affect your blood flow. It's a crucial step in diagnosing and planning treatment for various conditions.

35 services23 patients

Complicated change of bladder tube 51710

A complicated change of a bladder tube refers to the process of replacing a tube that helps drain urine from your body. This procedure is typically needed when the existing tube is blocked, damaged, or infected. It's a more complex process if there are issues like tube displacement.

22 services13 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

19 services18 patients

Aspiration of bladder with insertion of bladder tube to skin 51102

This procedure involves the careful removal of fluid from your bladder using a special tube. The tube is then secured to your skin for continuous drainage. It helps in managing bladder function and ensuring comfort.

18 services17 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

18 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services12 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

Quality

62.01

Promoting Interoperability

Improvement Activities

Cost

67.31

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.

LOUDOUN MEDICAL GROUP, PC

Radiology (Vascular & Interventional Radiology)

1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA 20191

Fairfax County (703) 783-5355

DR. RACHEL LYNN PIECHOWIAK D.O.

Radiology (Vascular & Interventional Radiology)

1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA 20191

Fairfax County (703) 783-5355

FARAZ ALI KHAN MD

Radiology (Vascular & Interventional Radiology)

1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA 20191

Fairfax County (703) 783-5355

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.

Which organizations bill Medicare for Alex Pavidapha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Pavidapha reassigns Medicare benefits to 5 organizations: Loudoun Medical Group, PC (Reston, VA), Gastroenterology Associates Of Northern Virginia, LLC (Fairfax, VA), Anderson Clinic LLC (Arlington, VA), Gastrointestinal Specialists LLC (Woodbridge, VA) and Gastrointestinal Specialists LLC (Richmond, VA). 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 Alex Pavidapha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Pavidapha accept?

Health plans from Oscar Health list Alex Pavidapha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.