Individual provider Active NPI

Anish Nanavati

  • Hematology & Oncology Physician
  • Waldorf, MD
National Provider Identifier
1154582989
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0079889 Issued in MD
Practice address
10 St. Patrick'S Drive
Waldorf, MD 20603-4527
Phone
(301) 705-7870
Fax
(301) 705-7628
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 D0079889 MD Primary

Addresses

Primary practice location

10 St. Patrick'S Drive
Waldorf, MD 20603-4527

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other practice location 1

6710 Oxon Hill Road Suite 250
Oxon Hill, MD 20745-1124
Phone (301) 292-7270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110901000454 DC Practitioner - Internal Medicine 3870763766 Reassigns benefits to 1 organization
I20151203001620 MD Practitioner - Internal Medicine 3870763766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, 241 clinicians

Practice addresses (Care Compare)

10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 373-7900

24035 Three Notch Rd
Hollywood, MD 20636-4871

6710 Oxon Hill Rd
Suite 200
Oxon Hill, MD 20745-1124
Phone (301) 373-7900

950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270

Hospital & facility affiliations

  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028
  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079889MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC Gastroenterology CurrentSince Apr 1, 2017 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Apr 1, 2017 Accepting new patients
Medstar Medical Group II LLC PastSince Jul 25, 2021 Accepting new patients
Medstar Southern Maryland Physicians, LLC PastSince Jul 25, 2021 Accepting new patients

Locations

2200 Defense Hwy
Ste 100
Crofton, MD 21114
Phone (410) 721-5280

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

3500 Old Washington Rd
Ste 102
Waldorf, MD 20602
Phone (301) 645-4242

10 Saint Patricks Dr
Fl 1
Waldorf, MD 20603
Phone (301) 645-4242

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

12070 Old Line Ctr
Ste 100
Waldorf, MD 20602
Phone (301) 705-7870

Interoperability endpoints

  • Direct secure messaging: anish.nanavatimd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 5

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 5

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1154582989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ST. PATRICK'S DRIVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034527",
            "telephone_number": "301-705-7870",
            "fax_number": "301-705-7628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6710 Oxon Hill Road Suite 250",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451124",
            "country_code": "US",
            "telephone_number": "301-292-7270",
            "fax_number": "301-203-8248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANAVATI",
        "first_name": "ANISH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0079889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.