Ellery Altshuler, MD
Individual provider Active NPI Hematology & Oncology Physician · Baltimore, MD
NPI 1467080929 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1467080929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- D0101270 (MD)
- Practice address
- 1650 Orleans St # 1186
Baltimore, MD 21287-0013 - Phone
- (305) 389-6231
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- University of Florida College of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3040 Williams Dr
Suite 100
Fairfax, VA 22031-4618
Hospital & facility affiliations
- Johns Hopkins Hospital, the
- Johns Hopkins Bayview Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, 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 |
|---|---|---|---|---|
| I20260622003675 | DC | Practitioner - Hematology/Oncology | 5496174799 | |
| I20260623000069 | VA | Practitioner - Hematology/Oncology | 5496174799 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101288403 | VA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Cancer Specialists, P.C. | Hematology & Oncology | Current |
Accepting new patients |
| Virginia Cancer Specialists, P.C. | Past |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3040 Williams Dr
Ste 100
Fairfax, VA 22031
3700 Joseph Siewick Dr
Ste 408
Fairfax, VA 22033
Phone (703) 391-4212
9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200
2280 Opitz Blvd
#130
Woodbridge, VA 22191
Phone (703) 897-5358
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | D0101270 | MD | Yes |
Addresses
Primary practice location
1650 Orleans St # 1186
Baltimore, MD 21287-0013
Mailing address
3040 Williams Dr Ste 100
Fairfax, VA 22031-4618
Phone (571) 350-8400
Other practice location 1
8613 Route 29 Ste 200
Fairfax, VA 22031-2172
Phone (571) 350-8400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ellery.altshuler@vcs.ikm.direct-ci.com | Direct | Virginia Cancer Specialists, P.C. |
Other providers in Baltimore, MD
- Brenda Alto
- Hannah Rose Alton
- Laura M Alton
- Haitham Obaid Altowairqi
- Alexander Altshuler
- Izzet Altun
- James Aluri
- Anika Adero Hardie Alvanzo
- Joanne Lauren Alvarado
- Martha Sandra Alvaran
All providers in Baltimore, MD · Hematology & Oncology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. 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.