Unknown Individual – Diagnostic Radiology Physician, NPI 1063428480
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2602, Buford Road, Grand Summit, Bon Air, Chesterfield County, Virginia, 23235, United States
NORTH CHESTERFIELD, VA 232353422
Phone: (804) 272-8806
Fax: (804) 272-2909
Mailing address matches the actual address.
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 315 | 301 | $0 |
| 71045 | X-ray of chest, 1 view | 307 | 299 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 197 | 196 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 126 | 126 | $0 |
| 72125 | Ct scan of upper spine without contrast | 115 | 114 | $0 |
Insurance plans in this area (ZIP 23235)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | VA | 71010 | X-ray of chest, 1 view, front | 101 | 88 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| Diagnostic Radiology, Interventional Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| - | VA |
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