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UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC
NPI 1467996959
Radiology - Diagnostic Radiology in La Plata, MD

Active since December 19, 2016CLIA 21D2138900 · Waiver
5 N LA PLATA CT STE 104, LA PLATA, MD 20646(301) 539-0345 Get Directions Write a Review

NPPES record last updated: December 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2019, Dec 19, 2016 (2 updates tracked since 2016).

About University Of Maryland Diagnostic Radiology, Llc NPPES

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

UNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC (NPI 1467996959) is a healthcare organization registered as a diagnostic radiology in La Plata, Maryland and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Charles S White, Vice President, as its authorized official.

NPPES Registry Identity

NPI1467996959
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameUNIVERSITY OF MARYLAND DIAGNOSTIC RADIOLOGY, LLC
Location Address5 N LA PLATA CT STE 104La Plata, MD 20646-5207
Mailing AddressPo Box 829688Philadelphia, PA 19182-9688
Phone(301) 539-0345
Organization SubpartNo
Authorized OfficialCharles S WhiteVice President · (410) 328-3477
Enumeration DateDecember 19, 2016
Last NPPES UpdateDecember 24, 20192 updates tracked since enumeration
✔ NPI 1467996959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
5 N LA PLATA CT STE 104, La Plata, MD 20646
Open in Google Maps ↗

Other Identifiers 1

Medicaid302245500MD

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Of Maryland Diagnostic Radiology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to University Of Maryland Diagnostic Radiology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology105
Interventional Radiology15
Nuclear Medicine3

Nearest to this location (20)

See all 123
Bolivia Davis, M.D.
Diagnostic Radiology
NPI 1073584413
5 GARRETT AVE, DEPT OF RADIOLOGY
La Plata, MD 20646
(301) 609-4000
✔ PECOS✔ Accepts Medicare3.5 mi
Meghal Antani, MD
Interventional Radiology
NPI 1215927900
251 NATIONAL HARBOR BLVD STE 104
Oxon Hill, MD 20745
(866) 800-2346
✔ PECOS✔ Accepts Medicare19 mi
Arthur Clark, MD
Diagnostic Radiology
NPI 1902864341
900 23RD ST NW
Washington, DC 20037
(202) 715-4000
✔ PECOS✔ Accepts Medicare27 mi
Keith Horton, MD
Interventional Radiology
NPI 1841280443
110 IRVING ST NW
Washington, DC 20010
(202) 877-6429
✔ PECOS✔ Accepts Medicare29 mi
Arshad Khan, MD
Interventional Radiology
NPI 1518925122
110 IRVING ST NW
Washington, DC 20010
(202) 877-6429
✔ PECOS✔ Accepts Medicare29 mi
Charles Hunter, M.D.
Diagnostic Radiology
NPI 1386777803
3001 HOSPITAL DR, DEPT OF RADIOLOGY
Cheverly, MD 20785
(301) 618-3340
✔ PECOS✔ Accepts Medicare30 mi
Gurmeet Sidhu, MD
Diagnostic Radiology
NPI 1821088204
3001 HOSPITAL DR, DEPT OF RADIOLOGY
Cheverly, MD 20785
(301) 618-3340
✔ PECOS✔ Accepts Medicare30 mi
Babak Raissi, MD
Diagnostic Radiology
NPI 1841280369
8700 SUDLEY RD
Manassas, VA 20110
(703) 369-8073
✔ PECOS✔ Accepts Medicare30 mi
Pavel Krapiva, MD, PH.D
Diagnostic Radiology
NPI 1902912652
6900 GEORGIA AVE NW
Washington, DC 20307
(202) 782-9362
✔ PECOS✔ Accepts Medicare32 mi
Recai Aktay, MD
Diagnostic Radiology
NPI 1437100948
22 S GREENE ST DEPT OF RADIOLOGY
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
David Amadu, M.D.
Diagnostic Radiology
NPI 1912319989
22 S GREENE ST, DEPT OF RADIOLOGY
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
Lara Antonios, MD
Diagnostic Radiology
NPI 1699338871
22 S GREENE ST
Baltimore, MD 21201
(410) 328-8667
✔ PECOS✔ Accepts Medicare58 mi
Wengen Chen, MD
Nuclear Medicine
NPI 1962551473
22 S GREENE ST, DEPT OF RADIOLOGY
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
Vasken Dilsizian, M.D.
Nuclear Medicine
NPI 1417980491
22 S GREENE ST DEPT OF RADIOLOGY
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
Adam Fang, M.D.
Interventional Radiology
NPI 1639499288
22 S GREENE ST, DEPT OF RADIOLOGY
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
Hyun Kim, M.D.
Interventional Radiology
NPI 1336180926
22 S GREENE ST DEPT OF RADIOLOGY
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
Howard Richard, M.D.
Interventional Radiology
NPI 1841218963
22 S GREENE ST, DEPT OF RADIOLOGY
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
Ifechi Ukeh, M.D.
Interventional Radiology
NPI 1538504923
22 S GREENE ST, DEPT OF RADIOLOGY
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
Adam Amado, MD
Interventional Radiology
NPI 1811513328
22 S GREENE ST RM S2A19
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
Eliot Siegel, M.D.
Nuclear Medicine
NPI 1528020906
22 S GREENE ST, DEPT OF RADIOLOGY
Baltimore, MD 21201
(410) 328-3477
✔ PECOS✔ Accepts Medicare58 mi
See all 123 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 21D2138900

University Of MD Diagnostic Radiology LLC · Laplata, MD
Active · expires Oct 14, 2027
CLIA Number21D2138900
Laboratory TypeOutpt Radiology Facility
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorBolivia T. Davis MD
Laboratory Phone(301) 539-0345
Laboratory LocationUniversity Of MD Diagnostic Radiology LLC5 N Laplata Court Suite 104, Laplata, MD 20646
CLIA data matches this NPI record on: 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 University Of Maryland Diagnostic Radiology, LLC's NPI number?

The NPI number for University Of Maryland Diagnostic Radiology, LLC is 1467996959. It was assigned to this organization in the NPPES registry on December 19, 2016.

Where is University Of Maryland Diagnostic Radiology, LLC located?

University Of Maryland Diagnostic Radiology, LLC is located at 5 N La Plata Ct Ste 104, La Plata, MD 20646. The listed phone number is (301) 539-0345.

What is University Of Maryland Diagnostic Radiology, LLC's specialty?

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

Is University Of Maryland Diagnostic Radiology, LLC enrolled in Medicare?

Yes. University Of Maryland Diagnostic Radiology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Maryland Diagnostic Radiology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 3 Medicare specialties reassign their Medicare billing to University Of Maryland Diagnostic Radiology, 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. The largest specialties are Diagnostic Radiology (105), Interventional Radiology (15) and Nuclear Medicine (3). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does University Of Maryland Diagnostic Radiology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2138900) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Of Maryland Diagnostic Radiology, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Maryland Diagnostic Radiology, LLC 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 University Of Maryland Diagnostic Radiology, LLC was last updated on December 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.