NPIMap

Individual provider Active NPI

Anusha Manje Gowda, MD

  • Hematology & Oncology Physician
  • Fredericksburg, VA
National Provider Identifier
1114301561
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101271231 Issued in VA
Practice address
405 Chatham Heights Rd
Fredericksburg, VA 22405-2582
Phone
(540) 300-6182
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101271231 VA Primary

Addresses

Primary practice location

405 Chatham Heights Rd
Fredericksburg, VA 22405-2582

Mailing address

405 Chatham Heights Rd
Fredericksburg, VA 22405-2582
Phone (540) 300-6182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210324002611 VA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1658788344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians

Practice addresses (Care Compare)

405 Chatham Heights Rd
Fredericksburg, VA 22405-2582
Phone (540) 300-6182

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101271231VAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians Hematology & Oncology CurrentSince Oct 1, 2023 Accepting new patients
Mary Washington Healthcare Providers LLC Hematology & Oncology CurrentSince Dec 12, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Oct 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

405 Chatham Heights Rd
Fredericksburg, VA 22405
Phone (540) 300-6182

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: amanjegowda73740@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 4

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 10

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1114301561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CHATHAM HEIGHTS RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052582",
            "telephone_number": "540-300-6182",
            "fax_number": "540-301-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CHATHAM HEIGHTS RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052582",
            "telephone_number": "540-300-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJE GOWDA",
        "first_name": "ANUSHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101271231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.