HALIFAX RADIOLOGICAL ASSOCIATES, INC. – Specialist, NPI 1952465064

HALIFAX RADIOLOGICAL ASSOCIATES, INC. is a healthcare provider. based in South boston, Virginia. specializing in Specialist. The organization holds a License No. 0101027902 (VA). The NPI Number for HALIFAX RADIOLOGICAL ASSOCIATES, INC. is 1952465064

Main info

Organization
Name
HALIFAX RADIOLOGICAL ASSOCIATES, INC.
NPI
1952465064
Phone
(434) 517-3187
Address
2204 WILBORN AVE
Authorized Official
ELMER SAN PEDRO PRESIDENT M.D.
Enumeration Date
21 December 2006
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for HALIFAX RADIOLOGICAL ASSOCIATES, INC.

  • Sentara Halifax Regional Hospital, 2204, Wilborn Avenue, South Boston, Halifax County, Virginia, 24592, United States

    RADIOLOGY DEPARTMENT

    SOUTH BOSTON, VA 245921645

    Phone: (434) 517-3187

    Fax: (434) 517-3686

    Mailing address matches the actual address.

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: 2018-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (833 days ago).

Enrollment records

2

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040511000798OClinic/Group PracticeVA2025-07-31
O20180806001426OClinic/Group PracticeNC2024-02-29

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.

Verify on CMS Revalidation Lookup Tool

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 24592)

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Reviews

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Frequently asked questions

Can I verify HALIFAX RADIOLOGICAL ASSOCIATES, INC. with an NPI only?
You can start verification with NPI 1952465064 for HALIFAX RADIOLOGICAL ASSOCIATES, INC., then check state licensing separately.
Is HALIFAX RADIOLOGICAL ASSOCIATES, INC. listed as active for patients and plans?
The listing shows HALIFAX RADIOLOGICAL ASSOCIATES, INC. as active in the NPI system.
What taxonomy line describes HALIFAX RADIOLOGICAL ASSOCIATES, INC.?
For research purposes, treat HALIFAX RADIOLOGICAL ASSOCIATES, INC. as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
What area does HALIFAX RADIOLOGICAL ASSOCIATES, INC. serve?
HALIFAX RADIOLOGICAL ASSOCIATES, INC.'s listing highlights South Boston, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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