MICHELLE THERESE KLADAKIS (MD) – Diagnostic Radiology Physician, NPI 1902896616
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for MICHELLE THERESE KLADAKIS (MD)
3015 Williams Dr
Suite 200
Fairfax, VA 220314623
Phone: (703) 698-8800
Type: Location
2300 Opitz Blvd
Woodbridge, VA 221913311
Phone: (703) 523-1199
Fax: (703) 583-4923
Type: Location
3015, Williams Drive, Merrifield, Fairfax (city), Virginia, 22031, United States
SUITE 200
FAIRFAX, VA 220314623
Phone: (703) 698-8800
Type: Location
6201 GREENLEIGH AVE STE 200
MIDDLE RIVER, MD 212202004
Phone: (410) 933-6423
Type: Mailing
1800 ORLEANS ST
BALTIMORE, MD 212870010
Phone: (410) 502-2037
Fax: (410) 955-0737
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040930000864 | I | Diagnostic Radiology | DC | TBD |
| I20130903000680 | I | Diagnostic Radiology | VA | TBD |
| I20221115002463 | I | Diagnostic Radiology | CT | TBD |
| I20240916000321 | I | Diagnostic Radiology | MD | TBD |
| I20241011000172 | I | Diagnostic Radiology | WV | TBD |
| I20251106000944 | I | Diagnostic Radiology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 340 | 340 | $0 |
| 77063 | Screening 3d breast mammography | 333 | 333 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 62 | 61 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 48 | 48 | $0 |
| 77066 | Diagnostic mammography of both breasts | 31 | 31 | $0 |
Insurance plans in this area (ZIP 22031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| - | MI | |
| - | VA | |
| - | VA | |
| Pulmonary Disease, Internal Medicine | GA | |
| N E U R O L O G Y | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice | VA |
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