Christian Agbisit, MD
Individual provider Active NPI Hematology & Oncology Physician · Chesapeake, VA
NPI 1306376488 · NPPES record last updated Jun 15, 2025
Key facts
- NPI
- 1306376488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 0101285411 (VA)
- Practice address
- 110 Wimbledon SQ Ste E-1
Chesapeake, VA 23320-4946 - Phone
- (757) 436-2995
- Fax
- (757) 436-2912
- NPI assigned
- Jun 12, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peninsula Cancer Institute, LLC
Practice addresses (Care Compare)
110 Wimbledon Square
Suite E
Chesapeake, VA 23320-4946
Phone (757) 436-2995
Hospital & facility affiliations
- Riverside Regional Medical Center
- Chesapeake General Hospital
- Sentara Obici Hospital
- Bon Secours Harbour View Medical Center
- Riverside Smithfield Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250530003259 | VA | Practitioner - Hematology/Oncology | 3375812928 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Cancer Institute LLC | Hematology & Oncology | Current |
Accepting new patients |
| Southern Illinois University | Past | Accepting new patients |
Locations
110 Wimbledon Sq
Ste E1
Chesapeake, VA 23320
Phone (757) 436-2995
110 Wimbledon Sq
Ste E
Chesapeake, VA 23320
Phone (757) 436-1492
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
5839 Harbour View Blvd
Ste 100
Suffolk, VA 23435
Phone (757) 397-4200
120 Kings Way
Ste 3100
Williamsburg, VA 23185
Phone (757) 345-5724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.071039 | IL | |
| Hematology & Oncology Physician | 207RH0003X | 0101285411 | VA | Yes |
Addresses
Primary practice location
110 Wimbledon SQ Ste E-1
Chesapeake, VA 23320-4946
Mailing address
110 Wimbledon SQ Ste E-1
Chesapeake, VA 23320-4946
Phone (757) 436-2995
Other practice location 1
701 N 1st St
Springfield, IL 62702-3757
Phone (217) 545-8000
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All providers in Chesapeake, VA · Hematology & Oncology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.