Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashwin Balasubramaniam

Individual provider Diagnostic Radiology Physician · NPI 1558749283

Ashwin Balasubramaniam is a Diagnostic Radiology in Fairfax, Virginia. Graduated from University of Toledo College of Medicine in 2015, 11 years ago. Practices with South Texas Radiology Imaging Centers, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Maryland and Virginia.

Years since qualifying
11
Trained at
University of Toledo College of Medicine
Licensed in
CA, MD, VA
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Phone: (703) 698-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 505 Parnassus Ave, San Francisco, CA 94143-2204 — (415) 514-5681

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101272533 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A167770 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D0092289 (MD)

Record details

NPI number1558749283
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2015
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing address2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice South Texas Radiology Imaging Centers — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfax