NPIMap

Individual provider Active NPI

Pranitha Naini, MD

  • Medical Oncology Physician
  • Lansdowne, VA
National Provider Identifier
1003959974
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
0101273576 Issued in VA
Practice address
44055 Riverside Pkwy Ste 224
Lansdowne, VA 20176-5177
Phone
(703) 858-3110
Fax
(703) 858-3111
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X C1-0010465 DE
Medical Oncology Physician 207RX0202X C1-0010465 DE
Medical Oncology Physician 207RX0202X 0101273576 VA Primary

Addresses

Primary practice location

44055 Riverside Pkwy Ste 224
Lansdowne, VA 20176-5177

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other identifiers 1

IdentifierTypeStateIssuer
412367100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140114000539 DE Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2567556434 Reassigns benefits to 3 organizations
I20220111000706 VA Practitioner - Hematology/Oncology 2567556434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

44055 Riverside Pkwy
Suite 224
Lansdowne, VA 20176-5177
Phone (703) 858-3110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0010465DEMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Sep 15, 2013 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Sep 15, 2013 Accepting new patients
Bayhealth Medical Center, Inc. Medical Oncology CurrentSince Jul 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc Medical Oncology CurrentSince Jul 1, 2019 Accepting new patients
American Oncology Partners PA Hematology CurrentSince Mar 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
Fl 3
Dover, DE 19901

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

44055 Riverside Pkwy
Ste 224
Leesburg, VA 20176
Phone (703) 858-3110

20522 Falcons Landing Cir
Sterling, VA 20165
Phone (703) 404-5100

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1003959974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44055 RIVERSIDE PKWY STE 224",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201765177",
            "telephone_number": "703-858-3110",
            "fax_number": "703-858-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAINI",
        "first_name": "PRANITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "DE",
            "license": "C1-0010465",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "DE",
            "license": "C1-0010465",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "VA",
            "license": "0101273576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412367100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

Verify at the official NPI Registry.