Individual provider Active NPI

Mitul Gandhi, M.D.

  • Hematology & Oncology Physician
  • Manassas, VA
National Provider Identifier
1639379308
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101257153 Issued in VA
Practice address
9450 Innovation Dr
Manassas, VA 20110-2214
Phone
(571) 350-8400
Fax
(571) 222-2202
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101257153 VA Primary
Medical Oncology Physician 207RX0202X 0101257153 VA
Hematology (Internal Medicine) Physician 207RH0000X 0101257153 VA

Addresses

Primary practice location

9450 Innovation Dr
Manassas, VA 20110-2214

Mailing address

3040 Williams Dr Ste 100
Fairfax, VA 22031-4618
Phone (571) 350-8400

Other identifiers 1

IdentifierTypeStateIssuer
1639379308MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mitul.gandi@vcs.ikm.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20150128001978 VA Practitioner - Hematology/Oncology 9335328293 Reassigns benefits to 1 organization
I20200526000891 DC Practitioner - Hematology/Oncology 9335328293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Cancer Specialists, P.C.Group PAC ID 2264412485, 80 clinicians

Practice addresses (Care Compare)

2280 Opitz Blvd
Suite 130
Woodbridge, VA 22191-3362
Phone (703) 986-1600

8613 Route 29
200N
Fairfax, VA 22031-2171
Phone (703) 280-5390

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. Hematology & Oncology CurrentSince Feb 2, 2014 Accepting new patients
Virginia Cancer Specialists, P.C. Hematology CurrentSince Feb 2, 2014 Accepting new patients

Locations

277 S Washington St
Ste 100
Alexandria, VA 22314
Phone (571) 366-5792

4660 Kenmore Ave
Ste 1018
Alexandria, VA 22304
Phone (571) 483-1800

1100 N Glebe Rd
Ste 1600
Arlington, VA 22201

8613 Route 29
Ste 200N
Fairfax, VA 22031
Phone (703) 208-3120

3040 Williams Dr
Ste 100
Fairfax, VA 22031

8613 Route 29
Ste 101
Fairfax, VA 22031
Phone (703) 783-4510

8613 Route 29
#200N
Fairfax, VA 22031

8613 Route 29
#101N
Fairfax, VA 22031

8613 Route 29
Ste 100N
Fairfax, VA 22031
Phone (703) 934-4450

3700 Joseph Siewick Dr
Ste 408
Fairfax, VA 22033
Phone (703) 391-4212

44035 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 208-3155

44035 Riverside Pkwy
Ste 310
Leesburg, VA 20176

9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200

1860 Town Center Dr
Ste 460
Reston, VA 20190
Phone (703) 437-6535

210 W Shirley Ave
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360

210 W Shirley Ave
#111
Warrenton, VA 20186
Phone (703) 208-9331

2280 Opitz Blvd
Ste 130
Woodbridge, VA 22191
Phone (713) 508-4005

2280 Opitz Blvd
Ste 300
Woodbridge, VA 22191
Phone (703) 897-5358

2280 Opitz Blvd
#130
Woodbridge, VA 22191
Phone (703) 897-5358

Interoperability endpoints

  • Direct secure messaging: mgandhi519809@direct.healthsystem.virginia.edu
  • Direct secure messaging: mitul.gandi@vcs.ikm.direct-ci.com
  • Direct secure messaging: mitul.gandhi@vcs.ikm.direct-ci.com

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.

Hospital & facility affiliations 5

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1639379308",
    "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": "571-222-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 INNOVATION DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102214",
            "telephone_number": "571-350-8400",
            "fax_number": "571-222-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "MITUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101257153",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "VA",
            "license": "0101257153",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "VA",
            "license": "0101257153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639379308",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitul.gandi@vcs.ikm.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging for Provider",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Health Record",
            "address_1": "9450 Innovation Dr",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201102214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.