NPIMap

Organization Active NPI

Virginia Cancer Institute Incorporated

  • Hematology & Oncology Physician
  • Richmond, VA
National Provider Identifier
1730130980
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
VIRGINIA CANCER INSTITUTE INCORPORATED
Practice address
8007 Discovery Dr Ste a
Richmond, VA 23229-8605
Phone
(804) 287-3000
Fax
(804) 673-2731
NPI assigned
May 12, 2006
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Pablo M Gonzalez, M.D.NPI 1124080759
Title
Managing Partner
Phone
(804) 391-4171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Clinical Medical Laboratory 291U00000X NU
Hematology & Oncology Physician 207RH0003X NU Primary
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

8007 Discovery Dr Ste a
Richmond, VA 23229-8605

Mailing address

7202 Glen Forest Dr
Suite 200
Richmond, VA 23226-3781
Phone (804) 391-4171

Other practice location 1

6130 Harbourside Centre Loop Ste 101
Midlothian, VA 23112-2104
Phone (804) 378-0394

Other practice location 2

1401 Johnston Willis Dr Ste 100
North Chesterfield, VA 23235-4730
Phone (804) 330-7990

Other practice location 3

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 673-0134

Other practice location 4

210 Medical Park Blvd Ste 200
Petersburg, VA 23805-0002
Phone (804) 431-1100

Other practice location 5

4730 Puddledock Rd Ste 100
Prince George, VA 23875-1274
Phone (804) 452-3850

Other practice location 6

10710 Midlothian Tpke Ste 138
North Chesterfield, VA 23235-4766
Phone (804) 348-2814

Other practice location 7

200 Medical Park Blvd Ste 275
Petersburg, VA 23805-9274
Phone (804) 348-2814

Other practice location 8

7492 Right Flank Road
Mechanicsville, VA 23116-3863
Phone (804) 559-2489

Other practice location 9

511 Belfield Dr Belfield Medical Office Building
Emoria, VA 23847
Phone (804) 348-2814

Other practice location 10

263 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 431-1100

Other identifiers 1

IdentifierTypeStateIssuer
CM1776OtherVARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040729000501 VA Part B Supplier - Clinic/Group Practice 8628048378 Receives reassigned benefits from 48 practitioners
Practice locations: Richmond, VA; Prince George, VA; Petersburg, VA; North Chesterfield, VA; Midlothian, VA; Mechanicsville, VA; Emporia, VA
O20190403002849 VA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8628048378 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Midlothian, VA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

511 Belfield Dr
Ofc
Emporia, VA 23847
Phone (804) 348-2814

10710 Midlothian Tpke
Ste 138
North Chesterfield, VA 23235
Phone (804) 330-4990

1401 Johnston Willis Dr
#100
North Chesterfield, VA 23235

1401 Johnston Willis Dr
#200
North Chesterfield, VA 23235

1401 Johnston Willis Dr
Ste 10
North Chesterfield, VA 23235

200 Medical Park Blvd
Ste 275
Petersburg, VA 23805
Phone (804) 348-2814

4730 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 452-3850

6605 W Broad St
Ste C
Richmond, VA 23230
Phone (804) 287-3000

7202 Glen Forest Dr
Richmond, VA 23226

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1730130980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263781",
            "telephone_number": "804-391-4171",
            "fax_number": "804-200-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 DISCOVERY DR STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232298605",
            "telephone_number": "804-287-3000",
            "fax_number": "804-673-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6130 Harbourside Centre Loop Ste 101",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122104",
            "country_code": "US",
            "telephone_number": "804-378-0394",
            "fax_number": "804-739-7649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Johnston Willis Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354730",
            "country_code": "US",
            "telephone_number": "804-330-7990",
            "fax_number": "804-330-3541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7202 Glen Forest Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263780",
            "country_code": "US",
            "telephone_number": "804-673-0134",
            "fax_number": "804-200-6229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Park Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238050002",
            "country_code": "US",
            "telephone_number": "804-431-1100",
            "fax_number": "804-862-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4730 Puddledock Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751274",
            "country_code": "US",
            "telephone_number": "804-452-3850",
            "fax_number": "804-541-7585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10710 Midlothian Tpke Ste 138",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354766",
            "country_code": "US",
            "telephone_number": "804-348-2814",
            "fax_number": "855-815-0304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Park Blvd Ste 275",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238059274",
            "country_code": "US",
            "telephone_number": "804-348-2814",
            "fax_number": "855-815-0304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7492 Right Flank Road",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231163863",
            "country_code": "US",
            "telephone_number": "804-559-2489",
            "fax_number": "804-730-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Belfield Dr Belfield Medical Office Building",
            "address_purpose": "LOCATION",
            "city": "Emoria",
            "state": "VA",
            "postal_code": "23847",
            "country_code": "US",
            "telephone_number": "804-348-2814",
            "fax_number": "855-815-0304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "23805",
            "country_code": "US",
            "telephone_number": "804-431-1100",
            "fax_number": "804-862-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRGINIA CANCER INSTITUTE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "804-391-4171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CM1776",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.