Active NPI
Alisan G Kula, M.D.
- Hematology & Oncology Physician
- Gainesville, VA
National Provider Identifier
1003884081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0101840419
- Practice address
- 7901 Lake Manassas Dr
Gainesville, VA 20155-3257 - Phone
- (571) 222-2200
- Fax
- (571) 222-2202
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0101840419 | VA | Primary |
Addresses
Primary practice location
7901 Lake Manassas Dr
Gainesville, VA 20155-3257
Mailing address
7901 Lake Manassas Dr
Gainesville, VA 20155-3257
Phone (571) 222-2200
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223803 | Other | VA | KAISER |
| 316256-269606 | Other | VA | MAMSI/OP CHOICE/ALLIANCE |
| 500617-5975777 | Other | VA | AETNA PPO |
| 541795091 | Other | VA | PHCS PPO/POS |
| 284763 | Other | VA | TRIGON/ANTHEM |
| 3000041 | Other | VA | UNITED HEALTHCARE |
| 0870-0013 | Other | VA | BCBS NCA/CARE FIRST |
| 500617-2214436 | Other | VA | AETNA HMO |
| 541795091 | Other | VA | FIRST HEALTH |
| 1003884081 | Medicaid | VA | |
| 504736 | Other | VA | NCPPO |
| 541795091 | Other | VA | TRICARE |
| 8522674001 | Other | VA | CIGNA POS/PPO |
| 8522674002 | Other | VA | CIGNA HMO |
| 541795091 | Other | VA | FX CTY COMM HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1003884081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 LAKE MANASSAS DR",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553257",
"telephone_number": "571-222-2200",
"fax_number": "571-222-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 LAKE MANASSAS DR",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201553257",
"telephone_number": "571-222-2200",
"fax_number": "571-222-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULA",
"first_name": "ALISAN",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101840419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "223803",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/OP CHOICE/ALLIANCE",
"identifier": "316256-269606",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "500617-5975777",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PPO/POS",
"identifier": "541795091",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON/ANTHEM",
"identifier": "284763",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3000041",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NCA/CARE FIRST",
"identifier": "0870-0013",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "500617-2214436",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "541795091",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003884081",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "504736",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "541795091",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA POS/PPO",
"identifier": "8522674001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "8522674002",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FX CTY COMM HEALTH",
"identifier": "541795091",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.