SANIYA MERCHANT MD
NPI 1699174847
Radiology - Diagnostic Radiology in Fairfax, VA

Active since August 13, 2014PECOS EnrolledAccepts Medicare Assignment
46.8/100
CMS Quality Rating
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031(703) 698-4444 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2022, Jan 28, 2020, May 20, 2019 and 2 more (5 updates tracked since 2019).

About Saniya Merchant Md NPPES

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

SANIYA MERCHANT MD (NPI 1699174847) is an individual diagnostic radiology provider in Fairfax, Virginia, licensed in Virginia (0101266092) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Tufts University School Of Medicine (2014).

NPPES Registry Identity

NPI1699174847
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSANIYA MERCHANTCredential: MD
Location Address2722 MERRILEE DR STE 230Fairfax, VA 22031-4416
Mailing Address2722 Merrilee Dr Ste 230Fairfax, VA 22031-4416
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2014
Enumeration DateAugust 13, 2014
Last NPPES UpdateFebruary 4, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1699174847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in VA · 0101266092✔ Licensed in NJ · 25MA10491400✔ Licensed in MD · D0088764
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2722 MERRILEE DR STE 230, Fairfax, VA 22031

Accepted 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

Saniya Merchant Md 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 ID3173832979
PECOS Enrollment IDI20200615000083, I20200615002845
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

4

Medicare enrollment records show Saniya Merchant reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Radiology
2722 MERRILEE DR STE 230
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 183 clinicians in this Medicare group
Specialist
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 183 clinicians in this Medicare group
Radiology
7799 LEESBURG PIKE, SUITE 104S
Falls Church, VA 22043
  • Reassigned Medicare billing, District of Columbia enrollment
  • 178 clinicians in this Medicare group
Critical Access
507 HOSPITAL WAY
Brewster, WA 98812
  • Reassigned Medicare billing, Washington enrollment
  • 238 clinicians in this Medicare group

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 21

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
460 services448 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
225 services222 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
112 services112 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
108 services107 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
105 services105 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
64 services64 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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.

46.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality30.82
Improvement Activities40
Cost49.51

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
Radiology (Pediatric Radiology)
2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
Radiology (Diagnostic Radiology)
2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
Radiology (Diagnostic Radiology)
2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
Radiology (Diagnostic Radiology)
2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
Radiology (Diagnostic Radiology)
2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
Radiology (Diagnostic Radiology)
2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
Radiology (Diagnostic Radiology)
2722 MERRILEE DR STE 230
FAIRFAX, VA 22031

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 Saniya Merchant's NPI number?

The NPI number for Saniya Merchant is 1699174847. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Where is Saniya Merchant located?

Saniya Merchant practices at 2722 Merrilee Dr Ste 230, Fairfax, VA 22031. The listed phone number is (703) 698-4444.

What is Saniya Merchant's specialty?

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

Is Saniya Merchant enrolled in Medicare?

Yes. Saniya Merchant 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 Saniya Merchant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saniya Merchant reassigns Medicare benefits to 4 organizations: Ifrc, LLC (Fairfax, VA), Fairfax Radiological Consultants (Falls Church, VA), Inova Reston Mri Center LLC (Falls Church, VA) and Okanogan Douglas County Hospital Dist 1 (Brewster, WA). 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 Saniya Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saniya Merchant accept?

Health plans from Oscar Health list Saniya Merchant 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.

Is Saniya Merchant affiliated with any hospitals?

According to CMS data, Saniya Merchant is affiliated with Inova Alexandria Hospital, Inova Loudoun Hospital, Inova Fairfax Hospital, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Saniya Merchant was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.