NPIMap

Organization Active NPI

Radiation Oncology Associates, PC

  • Radiation Oncology Physician
  • Fairfax, VA
National Provider Identifier
1013962836
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
RADIATION ONCOLOGY ASSOCIATES, PC
Practice address
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone
(571) 472-0606
Fax
(571) 472-0540
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Dr. Stella Hetelekidis, M.D.NPI 1467416693
Title
President
Phone
(703) 776-3731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

8081 Innovation Park Dr
Fairfax, VA 22031-4867

Mailing address

9568 Kings Charter Dr
Suite 202
Ashland, VA 23005-0078
Phone (804) 266-8717

Other identifiers 1

IdentifierTypeStateIssuer
1013962836MedicaidVA

Other names 1

  • John G. Mayer, MD, PhD, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040805000155 VA Part B Supplier - Clinic/Group Practice 1254302359 Receives reassigned benefits from 31 practitioners
Practice locations: Leesburg, VA; Woodbridge, VA
O20060530000250 DC Part B Supplier - Clinic/Group Practice 1254302359 Receives reassigned benefits from 30 practitioners
Practice locations: Alexandria, VA; Fairfax, VA; Falls Church, VA

National Provider Directory

National Provider Directory

Locations

8316 Arlington Blvd
Ste 214
Fairfax, VA 22031
Phone (703) 698-7485

8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606

8316 Arlington Blvd
Ste S
Fairfax, VA 22031
Phone (703) 698-7485

44035 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-5885

44035 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8850

2280 Opitz Blvd
Ste 120
Woodbridge, VA 22191
Phone (703) 580-5160

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1013962836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9568 KINGS CHARTER DR",
            "address_2": "SUITE 202",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230050078",
            "telephone_number": "804-266-8717",
            "fax_number": "804-266-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-0606",
            "fax_number": "571-472-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "HETELEKIDIS",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-776-3731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013962836",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John G. Mayer, MD, PhD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "John G. Mayer, MD, PhD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.