Active NPI
Derick Anthony Hanlan, M.D
- Radiation Oncology Physician
- Arlington, VA
National Provider Identifier
1598766818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 0101031979
- Practice address
- 1701 N George Mason Dr
Radiation Oncology Dept
Arlington, VA 22205-3610 - Phone
- (703) 558-6284
- Fax
- (703) 558-5512
- NPI assigned
- Aug 9, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 | 0101031979 | VA | Primary |
Addresses
Primary practice location
1701 N George Mason Dr
Radiation Oncology Dept
Arlington, VA 22205-3610
Mailing address
891 Linganore Dr
MC Lean, VA 22102-2143
Phone (703) 558-6284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7276192 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Bruce Lundeen MD PC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1598766818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 LINGANORE DR",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221022143",
"telephone_number": "703-558-6284",
"fax_number": "703-558-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N GEORGE MASON DR",
"address_2": "RADIATION ONCOLOGY DEPT",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053610",
"telephone_number": "703-558-6284",
"fax_number": "703-558-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLAN",
"first_name": "DERICK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101031979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7276192",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.