Individual provider Active NPI

Ellery Altshuler, MD

  • Hematology & Oncology Physician
  • Baltimore, MD
National Provider Identifier
1467080929
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0101270 Issued in MD
Practice address
1650 Orleans St # 1186
Baltimore, MD 21287-0013
Phone
(305) 389-6231
NPI assigned
Mar 31, 2020
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X D0101270 MD Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address ellery.altshuler@vcs.ikm.direct-ci.com Direct Virginia Cancer Specialists, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260622003675 DC Practitioner - Hematology/Oncology 5496174799
I20260623000069 VA Practitioner - Hematology/Oncology 5496174799

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0101270MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. Hematology & Oncology CurrentSince Jul 1, 2026 Accepting new patients
Virginia Cancer Specialists, P.C. PastSince Jul 1, 2026 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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1467080929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 WILLIAMS DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314618",
            "telephone_number": "571-350-8400",
            "fax_number": "703-280-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ORLEANS ST # 1186",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870013",
            "telephone_number": "305-389-6231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8613 Route 29 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312172",
            "country_code": "US",
            "telephone_number": "571-350-8400",
            "fax_number": "703-280-9596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTSHULER",
        "first_name": "ELLERY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0101270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellery.altshuler@vcs.ikm.direct-ci.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging for Providers",
            "affiliationName": "Virginia Cancer Specialists, P.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Health Record",
            "address_1": "8613 Route 29 Ste 200",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.