Tysons Corner Diagnostic Imaging LLC
NPI 1417915711 · Diagnostic Radiology Physician · Vienna, VA
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tysons Corner Diagnostic Imaging LLC is a Diagnostic Radiology Physician organization in Vienna, VA (NPI 1417915711).
Provider details
- NPI number
- 1417915711
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bruce Elder, Ceo(678) 992-7255
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,139 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 267 | $217 |
| Mri Scan of Leg Joint Without Contrast73721 | 238 | $227 |
| Mri Scan of Arm Joint Without Contrast73221 | 170 | $224 |
| Mri Scan of Upper Spinal Canal Without Contrast72141 | 86 | $192 |
| Mri Scan of Middle Spinal Canal Without Contrast72146 | 38 | $177 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 36 | $46 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tysons Corner Diagnostic Imaging
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2026-01-25
- Certified
- 2026-01-25
Frequently asked questions
- What is Tysons Corner Diagnostic Imaging LLC's NPI number?
- Tysons Corner Diagnostic Imaging LLC's National Provider Identifier (NPI) is 1417915711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tysons Corner Diagnostic Imaging LLC?
- Tysons Corner Diagnostic Imaging LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Tysons Corner Diagnostic Imaging LLC located?
- Tysons Corner Diagnostic Imaging LLC's practice location on file with NPPES is 8320 Old Courthouse Rd Ste 130, Vienna, VA 22182-3848.
- What is Tysons Corner Diagnostic Imaging LLC's phone number?
- The practice phone number listed in the NPPES registry for Tysons Corner Diagnostic Imaging LLC is (703) 356-4900.
- Does Tysons Corner Diagnostic Imaging LLC accept Medicare?
- Tysons Corner Diagnostic Imaging LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tysons Corner Diagnostic Imaging LLC?
- The authorized official listed on Tysons Corner Diagnostic Imaging LLC's NPPES record is Bruce Elder, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tysons Corner Diagnostic Imaging LLC's NPI active?
- Yes — Tysons Corner Diagnostic Imaging LLC's NPI (1417915711) is active in the NPPES registry as of the last update on 2026-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.