Individual provider Active NPI

Ali Mahjoub, M.D.

  • Medical Oncology Physician
  • Culpeper, VA
National Provider Identifier
1639463920
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
0101262133 Issued in VA
Practice address
545 Sunset LN
Culpeper, VA 22701-3914
Phone
(540) 829-4352
Fax
(540) 829-4260
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101262133 VA
Hematology (Internal Medicine) Physician 207RH0000X 0101262133 VA
Student in an Organized Health Care Education/Training Program 390200000X
Medical Oncology Physician 207RX0202X 0101262133 VA Primary

Addresses

Primary practice location

545 Sunset LN
Culpeper, VA 22701-3914

Mailing address

PO Box 748613
Atlanta, GA 30384-8613
Phone (434) 295-1000

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-3914
Phone (434) 924-0211

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amahjoub345553@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170803001800 VA Practitioner - HematologyPractitioner - Internal MedicinePractitioner - Medical Oncology 3173894599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Internal Medicine, Medical Oncology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

545 Sunset LN
Culpeper, VA 22701-3914
Phone (540) 829-4352

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101262133VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jul 1, 2017 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Dec 31, 2024 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients

Locations

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

545 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4352

57 Beam Ln
Ste 300
Fishersville, VA 22939
Phone (434) 297-9999

7901 Lake Manassas Dr
Ste 101
Gainesville, VA 20155
Phone (540) 829-8888

7901 Lake Manassas Dr
Gainesville, VA 20155
Phone (571) 222-2200

Interoperability endpoints

  • Direct secure messaging: amahjoub345553@direct.healthsystem.virginia.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1639463920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748613",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848613",
            "telephone_number": "434-295-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SUNSET LN",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013914",
            "telephone_number": "540-829-4352",
            "fax_number": "540-829-4260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229083914",
            "country_code": "US",
            "telephone_number": "434-924-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHJOUB",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101262133",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "VA",
            "license": "0101262133",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "VA",
            "license": "0101262133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amahjoub345553@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "545 Sunset Ln",
            "city": "Culpeper",
            "state": "VA",
            "country_code": "US",
            "postal_code": "227013914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.