Individual provider Active NPI

M Moinuddin Ali, MD

  • Radiation Oncology Physician
  • Richmond, VA
National Provider Identifier
1366428419
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0101031145 Issued in VA
Practice address
9105 Stony Point Pkwy
Richmond, VA 23235-1979
Phone
(804) 287-6101
Fax
(804) 288-3529
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 0101031145 VA Primary

Addresses

Primary practice location

9105 Stony Point Pkwy
Richmond, VA 23235-1979

Mailing address

9105 Stony Point Pkwy
Richmond, VA 23235-1979
Phone (804) 287-6101

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051202000591 VA Practitioner - Radiation Oncology 3072533199 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101031145VAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Specialists of Central Virginia PLC Radiation Oncology CurrentSince Sep 1, 2016 Accepting new patients
Oncology Associates of Virginia PC Radiation Oncology Past Accepting new patients
Danville Regional Medical Center, LLC Past Accepting new patients
New Hanover Regional Medical Center Past Accepting new patients
Mary Washington Hospital Inc. PastSince Sep 1, 2016 Accepting new patients
Virginia Radiation Oncology Associates, Inc Radiation Oncology Past Accepting new patients
Coastal Carolina Radiation Oncology, PLLC PastSince Aug 17, 1992 Accepting new patients

Locations

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

1300 Hospital Dr
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-0655

15394 Kings Hwy
Montross, VA 22520
Phone (804) 493-8880

Interoperability endpoints

  • Direct secure messaging: mali37729@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366428419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 STONY POINT PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-287-6101",
            "fax_number": "804-288-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 STONY POINT PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-287-6101",
            "fax_number": "804-288-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "M MOINUDDIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101031145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.