Individual provider Active NPI

Alexander Maxwell Kandabarow, M.D.

  • Urology Physician
  • Alexandria, VA
National Provider Identifier
1649630211
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101274595 Issued in VA
Practice address
3475 N Beauregard St Ste 201
Alexandria, VA 22302-1356
Phone
(703) 506-8590
NPI assigned
Feb 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00000000 IL
Urology Physician 208800000X 036155865 IL
Urology Physician 208800000X 125068288 IL
Urology Physician 208800000X 0101274595 VA Primary

Addresses

Primary practice location

3475 N Beauregard St Ste 201
Alexandria, VA 22302-1356

Mailing address

3475 N Beauregard St Ste 201
Alexandria, VA 22302-1356
Phone (703) 506-8590

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
I20220510001801 DC Practitioner - Urology 2062677982 Reassigns benefits to 2 organizations
I20220510002280 VA Practitioner - Urology 2062677982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loyola University of Chicago, Stritch School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3475 N Beauregard St
Suite 201
Alexandria, VA 22302-1356
Phone (703) 506-8590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.62 of 100Reported as group
Quality
53.18
Promoting interoperability
99
Improvement activities
40
Cost
76.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000000ILMDPediatric Dentist
036155865ILMDUrology Physician
125068288ILMDUrology Physician
0101274595VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group LLC CurrentSince Apr 21, 2025 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Potomac Urology Surgery Center, LLC CurrentSince Aug 3, 2023 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Apr 21, 2025 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients
Inderjit Singh MD PC Urology Past Accepting new patients

Locations

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

251 National Harbor Blvd
Ste 400A
Oxon Hill, MD 20745
Phone (301) 637-7878

3475 N Beauregard St
Ste 201
Alexandria, VA 22302
Phone (703) 506-8590

5971 Kingstowne Village Pkwy
Ste 300
Alexandria, VA 22315
Phone (703) 717-4196

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1851 N George Mason Dr
Ste 4A
Arlington, VA 22207
Phone (703) 717-4200

1760 Old Meadow Rd
Ste 305
McLean, VA 22102
Phone (703) 717-4200

2296 Opitz Blvd
Ste 350
Woodbridge, VA 22191
Phone (703) 680-5327

Interoperability endpoints

  • Direct secure messaging: akandabarow49018@direct.luhs.org
  • Direct secure messaging: akandabarow127140@direct.virginiahospitalcenter.net

Organizations & group practices 8

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 2

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": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1649630211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 N BEAUREGARD ST STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021356",
            "telephone_number": "703-506-8590",
            "fax_number": "703-506-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 N BEAUREGARD ST STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021356",
            "telephone_number": "703-506-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDABAROW",
        "first_name": "ALEXANDER",
        "middle_name": "MAXWELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-25",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "00000000",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036155865",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125068288",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101274595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.