FAIR OAKS IMAGING CENTER, PC
NPI 1063437903
Radiology - Diagnostic Radiology in Fairfax, VA

Active since July 13, 2006CLIA 49D2100853 · Waiver
4001 FAIR RIDGE DRIVE, SUITE 103, FAIRFAX, VA 22033(703) 385-5203(703) 385-3058 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fair Oaks Imaging Center, Pc NPPES

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

FAIR OAKS IMAGING CENTER, PC (NPI 1063437903) is a healthcare organization registered as a diagnostic radiology in Fairfax, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Jeffrey Atkin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063437903
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameFAIR OAKS IMAGING CENTER, PC
Location Address4001 FAIR RIDGE DRIVE, SUITE 103Fairfax, VA 22033-2917
Mailing AddressP.o Box 207431Dallas, TX 75320-7431 · (703) 726-1201 · Fax (703) 726-1053
Fax(703) 385-3058
Organization SubpartNo
Authorized OfficialJeffrey AtkinCeo · (703) 726-1201
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1063437903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4001 FAIR RIDGE DRIVE, Fairfax, VA 22033

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fair Oaks Imaging Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Fair Oaks Imaging Center, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Diagnostic Radiology28
Interventional Radiology4

Nearest to this location (20)

See all 32
Diagnostic Radiology
NPI 1972845519
9300 DEWITT LOOP
Ft Belvoir, VA 22060
(571) 231-3224
✔ PECOS✔ Accepts Medicare4.4 mi
Diagnostic Radiology
NPI 1922199058
8001 FORBES PL SUITE 103
Springfield, VA 22151
(703) 824-3200
✔ PECOS✔ Accepts Medicare9.1 mi
Diagnostic Radiology
NPI 1790246916
20116 ASHBROOK PL STE 150
Ashburn, VA 20147
(703) 385-5203
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1265688048
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1003822115
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1326256678
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1073604294
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1205891918
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1760617435
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1982682589
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1316189608
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Interventional Radiology
NPI 1447238050
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1356329965
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1548520984
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1881838456
19500 SANDRIDGE WAY, SUITE 420
Leesburg, VA 20176
(571) 375-8601
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1316517147
900 23RD ST NW
Washington, DC 20037
(202) 715-5154
✔ PECOS✔ Accepts Medicare17 mi
Diagnostic Radiology
NPI 1316367972
2141 K ST NW STE 900
Washington, DC 20037
(202) 223-9722
✔ PECOS✔ Accepts Medicare17 mi
Diagnostic Radiology
NPI 1073503678
1145 19TH ST NW SUITE 205
Washington, DC 20036
(301) 279-4490
✔ PECOS✔ Accepts Medicare18 mi
Diagnostic Radiology
NPI 1578798260
1310 SOUTHERN AVE SE DEPARTMENT OF RADIOLOGY
Washington, DC 20032
(202) 574-6772
✔ PECOS✔ Accepts Medicare21 mi
Interventional Radiology
NPI 1063778769
2001 MEDICAL PKWY
Annapolis, MD 21401
(410) 266-2770
✔ PECOS✔ Accepts Medicare46 mi
See all 32 clinicians

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 49D2100853

Fair Oaks Imaging Center, PC · Fairfax, VA
Active · expires Aug 23, 2027
CLIA Number49D2100853
Laboratory TypeIndep Radiology Prac
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorScott E. Cassar
Laboratory Phone(703) 385-5203
Laboratory LocationFair Oaks Imaging Center, PC4001 Fair Ridge Dr, Suite 103, Fairfax, VA 22033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fair Oaks Imaging Center, PC's NPI number?

The NPI number for Fair Oaks Imaging Center, PC is 1063437903. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Fair Oaks Imaging Center, PC located?

Fair Oaks Imaging Center, PC is located at 4001 Fair Ridge Drive Suite 103, Fairfax, VA 22033. The listed phone number is (703) 385-5203.

What is Fair Oaks Imaging Center, PC's specialty?

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

Is Fair Oaks Imaging Center, PC enrolled in Medicare?

Yes. Fair Oaks Imaging Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fair Oaks Imaging Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 2 Medicare specialties reassign their Medicare billing to Fair Oaks Imaging Center, PC. 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 (28) and Interventional Radiology (4). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fair Oaks Imaging Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2100853) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fair Oaks Imaging Center, PC was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.