Organization Active NPI

Hematology Oncology of Tysons PLLC

  • Oncology Clinic/Center
  • Vienna, VA
National Provider Identifier
1386027019
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
0101255947 Issued in VA
Legal business name
HEMATOLOGY ONCOLOGY OF TYSONS PLLC
Practice address
8290 Old Courthouse Rd Ste C
Vienna, VA 22182-3837
Phone
(732) 678-8772
Fax
(703) 666-8844
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Camila SahebiNPI 1083940001
Title
MD
Phone
(732) 678-8772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 0101255947 VA Primary

Addresses

Primary practice location

8290 Old Courthouse Rd Ste C
Vienna, VA 22182-3837

Mailing address

8290 Old Courthouse Rd Ste C
Vienna, VA 22182-3837
Phone (214) 704-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150817001578 DC Part B Supplier - Clinic/Group Practice 5395050538 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

380 Maple Ave W
#201
Vienna, VA 22180

380 Maple Ave W
Ste 201
Vienna, VA 22180
Phone (732) 678-8772

8290 Old Courthouse Rd
Ste C
Vienna, VA 22182
Phone (703) 666-8844

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1386027019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 OLD COURTHOUSE RD STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823837",
            "telephone_number": "214-704-3288",
            "fax_number": "704-666-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 OLD COURTHOUSE RD STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823837",
            "telephone_number": "732-678-8772",
            "fax_number": "703-666-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY ONCOLOGY OF TYSONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "SAHEBI",
        "authorized_official_first_name": "CAMILA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-678-8772"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "VA",
            "license": "0101255947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.