Active NPI
Stella Hetelekidis, MD
- Radiation Oncology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 0101-049742
- Practice address
- 8081 Innovation Park Dr
Fairfax, VA 22031-4867 - Phone
- (571) 472-0606
- Fax
- (571) 472-0540
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 0101-049742 | VA | Primary |
Addresses
Primary practice location
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Mailing address
9568 Kings Charter Dr Ste 202
Ashland, VA 23005-7955
Phone (804) 266-8717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467416693 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Rochester School of Medicine and Dentistry, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2280 Opitz Blvd
Suite 120
Woodbridge, VA 22191-3362
Phone (703) 670-3349
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-3731
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-4250
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-7900
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (571) 472-0606
Hospital & facility affiliations
- Inova Fair Oaks Hospital
- Inova Fairfax Hospital
- Inova Loudoun Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.82 of 100
- Quality
- 76.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 59.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-049742 | VA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiation Oncology Associates, PC | Radiation Oncology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
9568 Kings Charter Dr
Ste 202
Ashland, VA 23005
Phone (804) 266-8717
8081 Innovation Park Dr
Ste 301
Fairfax, VA 22031
Phone (571) 472-6431
8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606
3580 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-4250
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44035 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8850
2280 Opitz Blvd
Ste 120
Woodbridge, VA 22191
Phone (703) 580-5160
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1467416693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9568 KINGS CHARTER DR STE 202",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057955",
"telephone_number": "804-266-8717",
"fax_number": "804-266-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8081 INNOVATION PARK DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314867",
"telephone_number": "571-472-0606",
"fax_number": "571-472-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETELEKIDIS",
"first_name": "STELLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101-049742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467416693",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.