TRINITY HEMATOLOGY & ONCOLOGY CENTER PA
NPI 1215933239
Internal Medicine - Hematology & Oncology in Fayetteville, NC

Q: What is Trinity Hematology & Oncology Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since June 23, 2005

1209 CAPE CT, FAYETTEVILLE, NC 28304(910) 485-7003(910) 485-7103 Get Directions Write a Review

NPPES record last updated: March 5, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Trinity Hematology & Oncology Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY HEMATOLOGY & ONCOLOGY CENTER PA (NPI 1215933239) is a healthcare organization registered as a hematology & oncology in Fayetteville, North Carolina and active in the NPI registry since June 2005. The organization lists Mark Ketheeswaran, Attending Physician, as its authorized official.

NPPES Registry Identity

NPI1215933239

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameTRINITY HEMATOLOGY & ONCOLOGY CENTER PA

Location Address1209 CAPE CTFayetteville, NC 28304-4404

Mailing AddressPo Box 87427Fayetteville, NC 28304-7427 · (910) 485-7003 · Fax (910) 485-7103

Phone(910) 485-7003

Fax(910) 485-7103

Organization SubpartNo

Authorized OfficialMark KetheeswaranAttending Physician · (910) 485-7003

Enumeration DateJune 23, 2005

Last NPPES UpdateMarch 5, 2010

✔ NPI 1215933239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in NC · 9701004

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1209 CAPE CT, Fayetteville, NC 28304

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Other Identifiers 3

Medicare ID-Type Unspecified2244064ANC

Other01814NC · Blue Cross & Blue Shield

Medicaid7901814NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trinity Hematology & Oncology Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Trinity Hematology & Oncology Center PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Markandu Ketheeswaran, MD

Hematology/Oncology

NPI 1487608725

1209 CAPE CT
Fayetteville, NC 28304

(910) 485-7003

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trinity Hematology & Oncology Center PA's NPI number?

The NPI number for Trinity Hematology & Oncology Center PA is 1215933239. It was assigned to this organization in the NPPES registry on June 23, 2005.

Where is Trinity Hematology & Oncology Center PA located?

Trinity Hematology & Oncology Center PA is located at 1209 Cape Ct, Fayetteville, NC 28304. The listed phone number is (910) 485-7003.

What is Trinity Hematology & Oncology Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Trinity Hematology & Oncology Center PA enrolled in Medicare?

Yes. Trinity Hematology & Oncology Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trinity Hematology & Oncology Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hematology/Oncology) reassigns their Medicare billing to Trinity Hematology & Oncology Center PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trinity Hematology & Oncology Center PA was last updated on March 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.