Organization Active NPI

Virginia Cancer Care, Inc.

  • Hematology & Oncology Physician
  • Lansdowne, VA
National Provider Identifier
1821016783
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
VIRGINIA CANCER CARE, INC.
Practice address
19415 Deerfield Ave Ste 107
Lansdowne, VA 20176-8470
Phone
(703) 729-6030
Fax
(703) 729-1446
NPI assigned
Jul 18, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Ravneet Grewal, M.D.NPI 1649271750
Title
Medical Doctor
Phone
(703) 729-6030

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

19415 Deerfield Ave Ste 107
Lansdowne, VA 20176-8470

Mailing address

19415 Deerfield Ave Ste 107
Lansdowne, VA 20176-8470
Phone (703) 729-6030

Other identifiers 1

IdentifierTypeStateIssuer
010057141MedicaidVA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041029000389 DC Part B Supplier - Clinic/Group Practice 8527029578 Receives reassigned benefits from 2 practitioners
Practice locations: Reston, VA; Lansdowne, VA
O20041029000428 VA Part B Supplier - Clinic/Group Practice 8527029578 Receives reassigned benefits from 3 practitioners
Practice locations: Lansdowne, VA

National Provider Directory

National Provider Directory

Locations

1860 Town Center Dr
Ste 260
Reston, VA 20190
Phone (703) 662-3359

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1821016783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 107",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "703-729-6030",
            "fax_number": "703-729-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 107",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "703-729-6030",
            "fax_number": "703-729-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CANCER CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "RAVNEET",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "703-729-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010057141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.