MEDICAL IMAGING OF NORTH STAFFORD
NPI 1811193899
Clinic/Center - Radiology in Stafford, VA

Active since June 26, 2007CLIA 49D1092083 · Waiver
125 WOODSTREAM BLVD STE 109, STAFFORD, VA 22556(540) 657-9729 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medical Imaging Of North Stafford NPPES

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

MEDICAL IMAGING OF NORTH STAFFORD (NPI 1811193899) is a healthcare organization registered as a radiology in Stafford, Virginia and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Roni Faisal Talukdar, Mif President, as its authorized official.

NPPES Registry Identity

NPI1811193899
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameMEDICAL IMAGING OF FREDERICKSBURG, LLC
Location Address125 WOODSTREAM BLVD STE 109Stafford, VA 22556-4630
Mailing AddressPo Box 830008Philadelphia, PA 19182-0008 · (540) 657-9729
Organization SubpartNo
Authorized OfficialRoni Faisal TalukdarMif President · (540) 361-1000
Enumeration DateJune 26, 2007
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1811193899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
125 WOODSTREAM BLVD STE 109, Stafford, VA 22556

Other Names 1

Doing Business AsMedical Imaging Of North Stafford

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)

Medical Imaging Of North Stafford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20040618000469Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

55

Medicare enrollment records show 55 clinicians reassign Medicare billing to Medical Imaging Of North Stafford, 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 Radiology47
Interventional Radiology7
Interventional Cardiology1

Nearest to this location (20)

See all 55
Diagnostic Radiology
NPI 1063917276
214 FREESIA LN
Stafford, VA 22554
(901) 579-0902
✔ PECOS✔ Accepts Medicare3.1 mi
Diagnostic Radiology
NPI 1740546498
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 741-1571
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1508390097
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 741-5610
✔ PECOS✔ Accepts Medicare12 mi
Interventional Radiology
NPI 1164471355
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1467949677
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Interventional Radiology
NPI 1578680302
1001 SAM PERRY BLVD RADIOLOGIC ASSOCIATES OF FREDERICKSBURG
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Interventional Radiology
NPI 1316267669
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1215914130
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1386602514
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 741-1571
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1376744672
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1295785665
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Interventional Radiology
NPI 1457770448
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 741-1100
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1427007319
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Interventional Radiology
NPI 1609840685
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1033376132
1001 SAM PERRY BLVD RADIOLOGIC ASSOCIATES OF FREDERICKSBURG
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Interventional Cardiology
NPI 1447209903
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1134178908
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1467401133
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Diagnostic Radiology
NPI 1093768376
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
(540) 361-1000
✔ PECOS✔ Accepts Medicare12 mi
Interventional Radiology
NPI 1992063234
10401 SPOTSYLVANIA AVE STE 203
Fredericksburg, VA 22408
(540) 654-9118
✔ PECOS✔ Accepts Medicare17 mi
See all 55 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 49D1092083

Medical Imaging Of North Stafford · Stafford, VA
Active · expires Nov 16, 2026
CLIA Number49D1092083
Laboratory TypeOther
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorJakob C. Schutz
Laboratory Phone(540) 361-1000
Laboratory LocationMedical Imaging Of North Stafford125 Woodstream Boulevard - Suite 109, Stafford, VA 22556
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 Medical Imaging Of Fredericksburg, LLC's NPI number?

The NPI number for Medical Imaging Of Fredericksburg, LLC is 1811193899. It was assigned to this organization in the NPPES registry on June 26, 2007. The provider is doing business as Medical Imaging Of North Stafford.

Where is Medical Imaging Of Fredericksburg, LLC located?

Medical Imaging Of Fredericksburg, LLC is located at 125 Woodstream Blvd Ste 109, Stafford, VA 22556. The listed phone number is (540) 657-9729.

What is Medical Imaging Of Fredericksburg, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Medical Imaging Of Fredericksburg, LLC enrolled in Medicare?

Yes. Medical Imaging Of Fredericksburg, LLC is registered in the Medicare PECOS enrollment system.

When is Medical Imaging Of Fredericksburg, LLC'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 February 28, 2027. 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 Medical Imaging Of Fredericksburg, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 3 Medicare specialties reassign their Medicare billing to Medical Imaging Of Fredericksburg, 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 (47), Interventional Radiology (7) and Interventional Cardiology (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medical Imaging Of Fredericksburg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1092083) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Imaging Of Fredericksburg, LLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.