HALIFAX RADIOLOGICAL ASSOCIATES, INC.
NPI 1952465064
Specialist in South Boston, VA

Active since December 21, 2006
2204 WILBORN AVE, RADIOLOGY DEPARTMENT, SOUTH BOSTON, VA 24592(434) 517-3187(434) 517-3686 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017 (2 updates tracked since 2017).

About Halifax Radiological Associates, Inc. NPPES

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

HALIFAX RADIOLOGICAL ASSOCIATES, INC. (NPI 1952465064) is a healthcare organization registered as a specialist in South Boston, Virginia and active in the NPI registry since December 2006. The organization lists Elmer San Pedro, President, as its authorized official.

NPPES Registry Identity

NPI1952465064
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHALIFAX RADIOLOGICAL ASSOCIATES, INC.
Location Address2204 WILBORN AVE, RADIOLOGY DEPARTMENTSouth Boston, VA 24592-1645
Mailing Address2204 Wilborn Ave, Radiology DepartmentSouth Boston, VA 24592-1645 · (434) 517-3187 · Fax (434) 517-3686
Fax(434) 517-3686
Organization SubpartNo
Authorized OfficialElmer San PedroPresident · (434) 517-3686
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1952465064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101027902
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2204 WILBORN AVE, South Boston, VA 24592

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)

Halifax Radiological Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Halifax Radiological Associates, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Diagnostic Radiology
NPI 1821205832
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3100
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1174532535
2204 WILBORN AVE
South Boston, VA 24592
(434) 517-3187
✔ PECOS✔ Accepts Medicare1.2 mi
Diagnostic Radiology
NPI 1558505651
500 J CLYDE MORRIS BLVD RIVERSIDE REGIONAL MEDICAL CENTER
Newport News, VA 23601
(757) 612-6999
✔ PECOS✔ Accepts Medicare138 mi

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 Halifax Radiological Associates, Inc.'s NPI number?

The NPI number for Halifax Radiological Associates, Inc. is 1952465064. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Halifax Radiological Associates, Inc. located?

Halifax Radiological Associates, Inc. is located at 2204 Wilborn Ave Radiology Department, South Boston, VA 24592. The listed phone number is (434) 517-3187.

What is Halifax Radiological Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Halifax Radiological Associates, Inc. enrolled in Medicare?

Yes. Halifax Radiological Associates, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Halifax Radiological Associates, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Halifax Radiological Associates, Inc.. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Halifax Radiological Associates, Inc. was last updated on July 21, 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.