FAIRFAX RADIOLOGICAL CONSULTANTS – Specialist, NPI 1114902509
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for FAIRFAX RADIOLOGICAL CONSULTANTS
2722, Merrilee Drive, Merrifield, Fairfax (city), Virginia, 22031, United States
SUITE 230
FAIRFAX, VA 220314400
Phone: (703) 698-4483
Fax: (703) 573-0880
Type: Location
8260 WILLOW OAKS CORPORATE DR STE 750
FAIRFAX, VA 220314523
Phone: (703) 698-4483
Fax: (703) 204-0116
Type: Mailing
3300 GALLOWS RD
FALLS CHURCH, VA 220423307
Phone: (703) 698-4483
Fax: (703) 204-0116
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: 2025-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| O20040123000043 | O | Clinic/Group Practice | VA | TBD |
| O20060404000840 | O | Clinic/Group Practice | DC | TBD |
| O20251024002179 | O | Clinic/Group Practice | NC | TBD |
| O20251103002372 | O | Clinic/Group Practice | MD | TBD |
| O20251114000476 | O | Clinic/Group Practice | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22031)
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