1. Home
  2. Directory
  3. Maryland
  4. Waldorf
  5. Radiology
  6. NPI Profile

MIN - O'DONNELL PLACE
NPI 1952138117
Radiology - Diagnostic Radiology in Waldorf, MD

Active since September 19, 2024
10400 ODONNELL PL STE 100, WALDORF, MD 20603(410) 298-0454(301) 694-2606 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2024, Sep 19, 2024 (2 updates tracked since 2024).

About Min - O'donnell Place NPPES

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

MIN - O'DONNELL PLACE (NPI 1952138117) is a healthcare organization registered as a diagnostic radiology in Waldorf, Maryland and active in the NPI registry since September 2024. The organization lists John Vernon Crues, President, as its authorized official.

NPPES Registry Identity

NPI1952138117
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMARYLAND IMAGING NETWORK PC
Location Address10400 ODONNELL PL STE 100Waldorf, MD 20603-7290
Mailing Address10461 Mill Run Cir Ste 1020Owings Mills, MD 21117-5544 · (443) 436-1221 · Fax (443) 436-1256
Phone(410) 298-0454
Fax(301) 694-2606
Organization SubpartYes
Authorized OfficialJohn Vernon CruesPresident · (310) 445-2843
Enumeration DateSeptember 19, 2024
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1952138117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedNuclear MedicineTaxonomy 207U00000X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
10400 ODONNELL PL STE 100, Waldorf, MD 20603
Open in Google Maps ↗

Other Names 1

Other NameMin - O'donnell Place

Group Practice 1

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

Min - O'donnell Place is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Min - O'donnell Place, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Diagnostic Radiology85
Nuclear Medicine5

Nearest to this location (20)

See all 90
Timothy Miller, D.O.
Diagnostic Radiology
NPI 1821399239
8926 WOODYARD RD STE 301
Clinton, MD 20735
(301) 856-3670
✔ PECOS✔ Accepts Medicare10 mi
Angela Pansera, D.O.
Diagnostic Radiology
NPI 1568613909
7801 OLD BRANCH AVE STE 300
Clinton, MD 20735
(301) 856-6718
✔ PECOS✔ Accepts Medicare11 mi
Mark Hanna
Diagnostic Radiology
NPI 1790147916
2300 M ST NW FL 8
Washington, DC 20037
(202) 741-3003
✔ PECOS✔ Accepts Medicare20 mi
Sarah Smilanich, M.D.
Diagnostic Radiology
NPI 1386022903
2150 PENNSYLVANIA AVE NW
Washington, DC 20037
(202) 741-3000
✔ PECOS✔ Accepts Medicare21 mi
Kushal Mehta, M.D.
Diagnostic Radiology
NPI 1194085118
900 23RD ST NW
Washington, DC 20037
(202) 714-5154
✔ PECOS✔ Accepts Medicare21 mi
Ramin Javan, M.D.
Diagnostic Radiology
NPI 1831351394
2425 L ST NW APT 606
Washington, DC 20037
(703) 667-8600
✔ PECOS✔ Accepts Medicare21 mi
Janet Storella, MD
Diagnostic Radiology
NPI 1073503785
1145 19TH ST NW SUITE 205
Washington, DC 20036
(301) 279-4499
✔ PECOS✔ Accepts Medicare21 mi
Estelle Cooke-Sampson, M.D.
Diagnostic Radiology
NPI 1013978261
2041 GEORGIA AVE NW STE 6101
Washington, DC 20060
(202) 865-6679
✔ PECOS✔ Accepts Medicare21 mi
Parham Farid, M.D.
Diagnostic Radiology
NPI 1316945165
3800 RESERVOIR RD NW
Washington, DC 20007
(202) 444-3400
✔ PECOS✔ Accepts Medicare22 mi
Kara Beckner, MD
Diagnostic Radiology
NPI 1699709840
2722 MERRILEE DR #230
Fairfax, VA 22031
(703) 698-4444
✔ PECOS✔ Accepts Medicare24 mi
Sonia Sahu, M.D.
Diagnostic Radiology
NPI 1356737357
2722 MERRILEE DR STE 230
Fairfax, VA 22031
(703) 698-4488
✔ PECOS✔ Accepts Medicare24 mi
Matthew Bourne, DO
Diagnostic Radiology
NPI 1619437779
1100 WAYNE AVE STE 1020
Silver Spring, MD 20910
(703) 390-9882
✔ PECOS26 mi
Dawood Tafti, M.D.
Diagnostic Radiology
NPI 1003265570
8901 WISCONSIN AVE
Bethesda, MD 20889
(301) 319-8373
✔ PECOS✔ Accepts Medicare27 mi
Justin Peacock, M.D., PH.D.
Diagnostic Radiology
NPI 1336563493
8901 ROCKVILLE PIKE
Bethesda, MD 20889
(301) 295-9151
✔ PECOS28 mi
Derek Stocker, M.D.
Nuclear Medicine
NPI 1700811924
8901 WISCONSIN AVE WRNMMC NUCLEAR MEDICINE SERVICE
Bethesda, MD 20889
(301) 295-4974
✔ PECOS✔ Accepts Medicare28 mi
Wayne Hwang, MD
Diagnostic Radiology
NPI 1104843887
2121 MEDICAL PARK DRIVE SUITE 3
Silver Spring, MD 20902
(301) 681-3003
✔ PECOS✔ Accepts Medicare29 mi
Arman Moshyedi, MD
Diagnostic Radiology
NPI 1649284209
2121 MEDICAL PARK DRIVE SUITE 3
Silver Spring, MD 20902
(301) 681-3003
✔ PECOS✔ Accepts Medicare29 mi
Corina Millo, M.D.
Nuclear Medicine
NPI 1851362636
19650 CLUB HOUSE RD SUITE 201
Montgomry Village, MD 20886
(301) 948-5700
✔ PECOS✔ Accepts Medicare41 mi
Esther Gonzalez, MD
Nuclear Medicine
NPI 1407288525
601 N CAROLINE ST SUITE 3233
Baltimore, MD 21287
(443) 676-9893
✔ PECOS✔ Accepts Medicare49 mi
Ethan Spiegler, MD
Nuclear Medicine
NPI 1265475024
7253 AMBASSADOR RD
Baltimore, MD 21244
(443) 436-1116
✔ PECOS✔ Accepts Medicare50 mi
See all 90 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 Maryland Imaging Network PC's NPI number?

The NPI number for Maryland Imaging Network PC is 1952138117. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is also known as Min - O'donnell Place.

Where is Maryland Imaging Network PC located?

Maryland Imaging Network PC is located at 10400 Odonnell Pl Ste 100, Waldorf, MD 20603. The listed phone number is (410) 298-0454.

What is Maryland Imaging Network PC's specialty?

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

Is Maryland Imaging Network PC enrolled in Medicare?

Yes. Maryland Imaging Network PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maryland Imaging Network PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 2 Medicare specialties reassign their Medicare billing to Maryland Imaging Network PC. 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 (85) and Nuclear Medicine (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maryland Imaging Network PC was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.