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MCLEAN VEIN AND WELLNESS CENTER
NPI 1285002808
Radiology - Vascular & Interventional Radiology in Mc Lean, VA

Active since September 14, 2015
6723 WHITTIER AVE, MC LEAN, VA 22101(719) 955-9128(866) 335-0887 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mclean Vein And Wellness Center NPPES

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

MCLEAN VEIN AND WELLNESS CENTER (NPI 1285002808) is a healthcare organization registered as a vascular & interventional radiology in Mc Lean, Virginia and active in the NPI registry since September 2015. The organization lists Nourreddine Guaouguaou, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285002808
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameIMAGE GUIDED SURGERY CENTER, LLC
Location Address6723 WHITTIER AVEMc Lean, VA 22101-4522
Mailing Address6723 Whittier AveMc Lean, VA 22101-4522 · (719) 955-9128 · Fax (866) 335-0887
Phone(719) 955-9128
Fax(866) 335-0887
Organization SubpartNo
Authorized OfficialNourreddine GuaouguaouMedical Director · (719) 955-9128
Enumeration DateSeptember 14, 2015
✔ NPI 1285002808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in MD · M60321
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.
6723 WHITTIER AVE, Mc Lean, VA 22101
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Other Names 1

Doing Business AsMclean Vein And Wellness Center

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)

Mclean Vein And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mclean Vein And Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nordine Gaugau, M.D.
Interventional Radiology
NPI 1134180300
6723 WHITTIER AVE STE 306
Mc Lean, VA 22101
(703) 891-3147
✔ PECOS✔ Accepts MedicareSame address

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 Image Guided Surgery Center, LLC's NPI number?

The NPI number for Image Guided Surgery Center, LLC is 1285002808. It was assigned to this organization in the NPPES registry on September 14, 2015. The provider is doing business as Mclean Vein And Wellness Center.

Where is Image Guided Surgery Center, LLC located?

Image Guided Surgery Center, LLC is located at 6723 Whittier Ave, Mc Lean, VA 22101. The listed phone number is (719) 955-9128.

What is Image Guided Surgery Center, LLC's specialty?

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

Is Image Guided Surgery Center, LLC enrolled in Medicare?

Yes. Image Guided Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Image Guided Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Radiology) reassigns their Medicare billing to Image Guided Surgery Center, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Image Guided Surgery Center, LLC was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.