Sudeep Joseph Menachery, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

0101233614 Issued in VA

Practice address

4501 Empire Court
Fredericksburg, VA 22408

Phone

(540) 371-0079

Fax

(540) 371-4254

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Hematology/Oncology

Education

Other, 1999

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

Hematology-Oncology Associates of Fredericksburg IncGroup PAC ID 3577566066, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
• Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140
• Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141

Merit-based Incentive Payment System (MIPS)

Final score

85.9 of 100Reported as group

Quality

95.01

Promoting interoperability

100

Improvement activities

40

Cost

49.21

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hematology-Oncology Associates of Fredericksburg, Inc.

  • Hematology & Oncology Physician
  • Fredericksburg, VA
  • NPI 1952331829
  Medicare reassignment Care Compare group NPD
• American Oncology Partners PA

  • Hematology & Oncology Physician
  • Columbus, OH
  • NPI 1265929723

  VA

  Medicare reassignment Care Compare group NPD

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

• Mary Washington Hospital Inc.

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1942288527
  Care Compare affiliation
• Mary Washington Hospital, Inc.

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
  • NPI 1013089879

  Hospital

  Care Compare affiliation
• Mary Washington Hospital, Inc.

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1407814163

  Hospital

  Care Compare affiliation
• Spotsylvania Medical Center Inc

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1376876664
  Care Compare affiliation
• Stafford Hospital, LLC

  • General Acute Care Hospital
  • Stafford, VA
  • NPI 1043343304
  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1356371157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 EMPIRE COURT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-371-0079",
            "fax_number": "540-371-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 EMPIRE COURT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-371-0079",
            "fax_number": "540-371-4254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Woodstream Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225564630",
            "country_code": "US",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Empire Ct",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224081949",
            "country_code": "US",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENACHERY",
        "first_name": "SUDEEP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101233614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356371157",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Lynn Meline, L.C.S.W.
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• Inna Melnychuk-Hymer
• Meluzio Psychological Services, LLC
• Memory Lane Home Health LLC
• Carlos Javier Mencias Vera, M.D.
• Kristen Mendoza, OTR/L
• Kelly J Menefee, MT
• Shelby Elizabeth Menezes, PA
• Samuel Mengesha

• Hematology & Oncology Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Hematology & Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.