Elise L Berman
INOVA RESTON MRI CENTER LLC


Address: 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Phone: 7034819400

Elise L Berman (NPI# 1023042280, PAC ID# 5597844506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1023042280
PAC ID by PECOS 5597844506
Professional Enrollment ID I20091125000366
Full Name Elise L Berman
Organization Legal Name INOVA RESTON MRI CENTER LLC
Address 100 Elden St
16m The Fairfax Center At Reston
Herndon
VA 20170-4837
Phone Number 7034819400
Gender F
Medical School TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 2961540042
Number of Group Practice Members 62
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490101 INOVA FAIR OAKS HOSPITAL

Other Locations

Address Phone Organization
6211 Centreville Rd, Suite 400, Centreville, VA 20121-2641 7032044411 FAIRFAX RADIOLOGICAL CONSULTANTS PC
3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 7033913600 FAIRFAX RADIOLOGICAL CONSULTANTS PC
3650 Joseph Siewick Dr, Suite 440, Fairfax, VA 22033-1715 7037581083 FAIRFAX RADIOLOGICAL CONSULTANTS PC
3801 University Dr, 120 Fairfax Diagnostic Imaging Center, Fairfax, VA 22030-2503 7036984467 FAIRFAX RADIOLOGICAL CONSULTANTS PC
8318 Arlington Blvd, Suite 200, Fairfax, VA 22031-5218 7036984455 FAIRFAX RADIOLOGICAL CONSULTANTS PC
100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837 7034819400 INOVA RESTON MRI CENTER LLC
100 Elden St, Suite 16, Herndon, VA 20170-4841 7037764001 FAIRFAX RADIOLOGICAL CONSULTANTS PC
5510 Alma Ln, Suite 100, Springfield, VA 22151-4028 7036984485 FAIRFAX RADIOLOGICAL CONSULTANTS PC
115 Park Sest, Suite 300, Vienna, VA 22180-4653 7036984456 FAIRFAX RADIOLOGICAL CONSULTANTS PC
115 Park St Se, Suite 203, Vienna, VA 22180-4653 7036984456 FAIRFAX RADIOLOGICAL CONSULTANTS PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 1%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%

Organization Information

Organization Legal Name INOVA RESTON MRI CENTER LLC
Physicians 49

Physicians with the same organization

Name Specialty Organization Address
Edmund D Hong Diagnostic Radiology Inova Reston Mri Center LLC 7799 Leesburg Pike, 104s, Falls Church, VA 22043-2413
Jing Selia Chen Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Sameena F Nasrullah Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Kurosh Majd Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Ian Mills Diagnostic Radiology Inova Reston Mri Center LLC 7799 Leesburg Pike, 104s, Falls Church, VA 22043-2413
Gary M Kellman Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Raymond Chang Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
John C Ruff Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Quan Duy Mahn Vu Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Kathryn Grumbach Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837

Office Location

Street Address 100 ELDEN ST
16M THE FAIRFAX CENTER AT RESTON
City HERNDON
State VA
Zip 20170-4837

Physicians in the same location

Name Specialty Organization Address
Jing Selia Chen Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Sameena F Nasrullah Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Lindsay R Tom Physician Assistant Gastroenterology Associates of Northern Va 100 Elden St, Suite 12, Herndon, VA 20170-4833
Kurosh Majd Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Gary M Kellman Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Raymond Chang Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Ngoc Thi Bich Vu Allergy/immunology Allergy Partners Pa 100 Elden St, 10 Allergy Partners of Herndon, Herndon, VA 20170-4833
John C Ruff Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
Caitlin Noelle Fortune Physician Assistant Gastroenterology Associates of Northern Va 100 Elden St, Suite 12, Herndon, VA 20170-4833
Quan Duy Mahn Vu Diagnostic Radiology Inova Reston Mri Center LLC 100 Elden St, 16m The Fairfax Center At Reston, Herndon, VA 20170-4837
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Competitor

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City HERNDON
Zip Code 20170
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty HERNDON + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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