Active NPI
Northern Virginia Hematology Oncology Associates PC
- Hematology & Oncology Physician
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- NORTHERN VIRGINIA HEMATOLOGY ONCOLOGY ASSOCIATES PC
- Practice address
- 2079 Daniel Stuart SQ
Woodbridge, VA 22191-3317 - Phone
- (703) 491-5600
- Fax
- (703) 491-1744
- NPI assigned
- Jan 3, 2007
- Last updated
- Oct 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hamed Khosravi, MD
- Title
- Owner
- Phone
- (703) 491-5600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | NU | Primary |
Addresses
Primary practice location
2079 Daniel Stuart SQ
Woodbridge, VA 22191-3317
Mailing address
2079 Daniel Stuart SQ
Woodbridge, VA 22191-3317
Phone (703) 491-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1135 | Other | CAREFIRST BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1080580 | Northern Virginia Hematology Oncology Associates | Compliance | Nov 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
8140 Ashton Ave
Ste 105
Manassas, VA 20109
Phone (703) 396-9000
8140 Ashton Ave
Ste 210
Manassas, VA 20109
Phone (703) 396-9000
125 Hospital Center Blvd
Ste 137
Stafford, VA 22554
125 Hospital Center Blvd
Ste 317
Stafford, VA 22554
Phone (540) 318-8201
2079 Daniel Stuart Sq
Woodbridge, VA 22191
Phone (703) 491-5600
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Hematology & Oncology Physician
- Woodbridge, VA
- NPI 1407802671
-
- Family Nurse Practitioner
- Woodbridge, VA
- NPI 1558193102
-
- Medical Oncology Physician
- Woodbridge, VA
- NPI 1023495066
-
- Physician Assistant
- Fairfax, VA
- NPI 1407201833
-
- Medical Physician Assistant
- Woodbridge, VA
- NPI 1346872488
-
- Nurse Practitioner
- Alexandria, VA
- NPI 1447833363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1912064585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2079 DANIEL STUART SQ",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913317",
"telephone_number": "703-491-5600",
"fax_number": "703-491-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2079 DANIEL STUART SQ",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913317",
"telephone_number": "703-491-5600",
"fax_number": "703-491-1744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN VIRGINIA HEMATOLOGY ONCOLOGY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "KHOSRAVI",
"authorized_official_first_name": "HAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-491-5600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC BS",
"identifier": "1135",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
- Northern Virginia Anesthesia Assoc.
- Northern Virginia Area Bariatric Consultants
- Northern Virginia Endoscopy Center
- Northern Virginia Eye Associates, PC (My Eye Dr.)
- Northern Virginia Heart & Vascular Center, LLC
- Northern Virginia Neurology, PLLC
- Northern Virginia Physical Therapy
- Norvin's Link LLC.
- Veronique Tayou Kamegne Noubissie
- Berthe Tatsiada Noubit, PHARM D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.