MEDICAL CENTER RADIOLOGISTS INC – Diagnostic Radiology Physician, NPI 1720079254
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MEDICAL CENTER RADIOLOGISTS INC
5544, Greenwich Road, Greenwich, Kempsville Heights, Virginia Beach, Virginia, 23462, United States
SUITE 200
VIRGINIA BEACH, VA 234626563
Phone: (757) 466-0089
Fax: (757) 466-8017
Type: Location
PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom
NORFOLK, VA 235411115
Phone: (757) 466-0089
Fax: (757) 466-8017
Type: Mailing
600 GRESHAM DR
NORFOLK, VA 235071904
Phone: (757) 338-3231
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: 2026-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (45 days ago).
Enrollment records
21
Earliest due date
2026-04-30
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 |
|---|---|---|---|---|
| O20031201000544 | O | Clinic/Group Practice | VA | TBD |
| O20200226000128 | O | Clinic/Group Practice | CA | TBD |
| O20200306002160 | O | Clinic/Group Practice | FL | 2026-04-30 |
| O20221003002667 | O | Clinic/Group Practice | OH | TBD |
| O20221010002115 | O | Clinic/Group Practice | TN | TBD |
| O20221017000706 | O | Clinic/Group Practice | IL | TBD |
| O20221019002580 | O | Clinic/Group Practice | OR | TBD |
| O20230207000206 | O | Clinic/Group Practice | WA | TBD |
| O20230309002104 | O | Clinic/Group Practice | MI | TBD |
| O20230314001451 | O | Clinic/Group Practice | MA | TBD |
| O20230323002208 | O | Clinic/Group Practice | MO | TBD |
| O20230329002247 | O | Clinic/Group Practice | NC | TBD |
| O20230530001780 | O | Clinic/Group Practice | AZ | TBD |
| O20230808002689 | O | Clinic/Group Practice | MN | TBD |
| O20230809001027 | O | Clinic/Group Practice | CT | TBD |
| O20231023003571 | O | Clinic/Group Practice | MD | TBD |
| O20240206000641 | O | Clinic/Group Practice | KY | TBD |
| O20250123003475 | O | Clinic/Group Practice | PR | TBD |
| O20250430002040 | O | Clinic/Group Practice | IN | TBD |
| O20250919000911 | O | Clinic/Group Practice | CO | TBD |
| O20260209000699 | O | Clinic/Group Practice | DC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 23462)
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