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FAIRFAX RADIOLOGICAL CONSULTANTS
NPI 1114902509
Specialist in Falls Church, VA

Active since December 08, 2005
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 698-4483(703) 204-0116 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fairfax Radiological Consultants NPPES

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

FAIRFAX RADIOLOGICAL CONSULTANTS (NPI 1114902509) is a healthcare organization registered as a specialist in Falls Church, Virginia and active in the NPI registry since December 2005. The organization lists Kim Masters, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1114902509
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAIRFAX RADIOLOGICAL CONSULTANTS
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address8260 Willow Oaks Corporate Dr Ste 750Fairfax, VA 22031-4523 · (703) 698-4483 · Fax (703) 204-0116
Phone(703) 698-4483
Fax(703) 204-0116
Organization SubpartNo
Authorized OfficialKim MastersChief Operating Officer · (703) 698-4444
Enumeration DateDecember 8, 2005
Last NPPES UpdateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
✔ NPI 1114902509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3300 GALLOWS RD, Falls Church, VA 22042
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Other Identifiers 31

Other224404VA · Anthem Bcbs
Other231506VA · Anthem Bcbs
Other089016VA · Anthem Bcbs
Other089072VA · Anthem Bcbs
Other189293VA · Anthem Bcbs
Other2325664VA · United Health Care
Other8560910Aetna Non Hmo
Other484920Ncppo
Medicaid6558011 00MD
Other115091VA · Anthem Bcbs
Other189288VA · Anthem Bcbs
Other234149VA · Anthem Bcbs
Other033140VA · Anthem Bcbs
Other100497Kaiser
Other231507VA · Anthem Bcbs
Other258371VA · Anthem Bcbs
Other258372VA · Anthem Bcbs
Other3995Carefirst
Other033140VA · Anthem
Other089044VA · Anthem Bcbs
Other189289VA · Anthem Bcbs
Other2251430VA · Mamsi - Office
Other302282VA · Anthem Bcbs
Other088987VA · Anthem Bcbs
Other224403VA · Anthem Bcbs
Other231507VA · Anthem
Medicaid4000503-000WV
Other453969VA · Anthem Bcbs
Other9363Aetna Hmo
Other314478VA · Mamsi
Other7364052001Cigna

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairfax Radiological Consultants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20040123000043Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

184

Medicare enrollment records show 184 clinicians reassign Medicare billing to Fairfax Radiological Consultants, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 120 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology168
Interventional Radiology11
Nurse Practitioner5

Nearest to this location (20)

See all 184
Raghav Acharya
Diagnostic Radiology
NPI 1548898471
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOS✔ Accepts MedicareSame address
Firas Al-Ali, M.D.
Diagnostic Radiology
NPI 1891775268
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Rabita Alamgir, MD, MS
Diagnostic Radiology
NPI 1669058681
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOSSame address
Abdel-Kareem Beidas
Diagnostic Radiology
NPI 1306265707
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Thomas Bomberger
Diagnostic Radiology
NPI 1013411339
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Eric Chung, MD
Interventional Radiology
NPI 1780203521
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOSSame address
Tyler Geshay, MD
Diagnostic Radiology
NPI 1346700069
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Sean Gharai, MD
Diagnostic Radiology
NPI 1487282570
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOSSame address
Samir Haroon, MD
Diagnostic Radiology
NPI 1396265856
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Horneber
Diagnostic Radiology
NPI 1033771092
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Sanghun Kim, MD
Diagnostic Radiology
NPI 1073001194
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
James Lee, MD
Diagnostic Radiology
NPI 1013544501
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOS✔ Accepts MedicareSame address
Bohan Liu, MD
Diagnostic Radiology
NPI 1225591514
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Jaclyn Lobue
Nurse Practitioner
NPI 1073183828
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Lin Luo
Diagnostic Radiology
NPI 1184287732
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOS✔ Accepts MedicareSame address
James Mceachern, MD
Diagnostic Radiology
NPI 1104642925
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOS✔ Accepts MedicareSame address
Giang-Kim Nguyen
Diagnostic Radiology
NPI 1639666779
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Dinushi Perera, M.D.
Diagnostic Radiology
NPI 1417242983
3300 GALLOWS RD
Falls Church, VA 22042
(703) 698-4444
✔ PECOS✔ Accepts MedicareSame address
Saumik Rahman, MD
Diagnostic Radiology
NPI 1154950384
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOS✔ Accepts MedicareSame address
Hubert Smith, MD
Interventional Radiology
NPI 1881222537
3300 GALLOWS RD
Falls Church, VA 22042
(703) 776-4001
✔ PECOSSame address
See all 184 clinicians

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

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 Fairfax Radiological Consultants's NPI number?

The NPI number for Fairfax Radiological Consultants is 1114902509. It was assigned to this organization in the NPPES registry on December 8, 2005.

Where is Fairfax Radiological Consultants located?

Fairfax Radiological Consultants is located at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 698-4483.

What is Fairfax Radiological Consultants's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Fairfax Radiological Consultants enrolled in Medicare?

Yes. Fairfax Radiological Consultants is registered in the Medicare PECOS enrollment system.

When is Fairfax Radiological Consultants'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 November 30, 2026. 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 Fairfax Radiological Consultants?

According to the CMS Revalidation Reassignment List (October 2026 release), 184 clinicians in 3 Medicare specialties reassign their Medicare billing to Fairfax Radiological Consultants. 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 (168), Interventional Radiology (11) and Nurse Practitioner (5). Of these, 28 practice at this address and 120 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fairfax Radiological Consultants was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.