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Shady Grove Radiological Consultants PA

Diagnostic Radiology Physician in Germantown, MD · enumerated 2006 · authorized official Larry Busching, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639122039

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Registry record

Entity type Organization (Type 2)
Legal business name Shady Grove Radiological Consultants PA
Other name <Unavail>
Practice address 20410 Observation Dr, Suite 104, Germantown, MD, 20876
Fax (301) 212-4277
Enumeration date May 18, 2006
Last updated in NPPES Aug 25, 2009

Taxonomy & classification

207UN0902X Nuclear Imaging & Therapy Physician Allopathic & Osteopathic Physicians Secondary
2085B0100X Body Imaging Physician Allopathic & Osteopathic Physicians Secondary
2085N0700X Neuroradiology Physician Allopathic & Osteopathic Physicians Secondary
2085N0904X Nuclear Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085P0229X Pediatric Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Secondary
2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Larry Busching
Title Chief Operating Officer

Other identifiers

Identifier Type State Issuer
979151500 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Shady Grove Radiological Consultants PA?
NPPES lists Larry Busching (Chief Operating Officer) as the authorized official for this organization.
What is the NPI number for Shady Grove Radiological Consultants PA?
The NPI for Shady Grove Radiological Consultants PA is 1639122039, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-25.