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ALI MAHJOUB M.D.
NPI 1639463920
Internal Medicine - Medical Oncology in Culpeper, VA

Active since June 03, 2011PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
545 SUNSET LN, CULPEPER, VA 22701(540) 829-4352(540) 829-4260 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2025, Aug 10, 2023, Oct 8, 2020 and 2 more (5 updates tracked since 2017).

About Ali Mahjoub M.d. NPPES

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

ALI MAHJOUB M.D. (NPI 1639463920) is an individual medical oncology provider in Culpeper, Virginia, licensed in Virginia (0101262133) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1639463920
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameALI MAHJOUBCredential: M.D.
Location Address545 SUNSET LNCulpeper, VA 22701-3914
Mailing AddressPo Box 748613Atlanta, GA 30384-8613 · (434) 295-1000
Phone(540) 829-4352
Fax(540) 829-4260
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 3, 2011
Last NPPES UpdateJanuary 2, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1639463920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in VA · 0101262133
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101262133 (VA)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 0101262133 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
545 SUNSET LN, Culpeper, VA 22701
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-3914 · Phone (434) 924-0211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ali Mahjoub M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173894599
PECOS Enrollment IDI20170803001800
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ali Mahjoub reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uva Community Health Medical Group, LLC
Same address
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia enrollment
  • 584 clinicians in this Medicare group
NPI 1992157580 (540) 829-4100
University Of Virginia Physicians Group
40 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
564 services103 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
331 services202 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier119 claims119 services$18.71 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier119 claims119 services$36.18 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier43 claims43 services$173.55 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers23 claims2,255 services$0.69 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier119 claims1,731 services$1.66 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$12.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN M FIELDS PHARMD
Pharmacist
545 SUNSET LN, SUITE 101
CULPEPER, VA 22701
Culpeper County (540) 829-8893
MICHELLE W. OTTO N.P.
Nurse Practitioner (Adult Health)
545 SUNSET LN
CULPEPER, VA 22701
Culpeper County (540) 829-4352
PRANAV D. PATEL M.D.
Internal Medicine (Medical Oncology)
545 SUNSET LN
CULPEPER, VA 22701
Culpeper County (540) 829-4352

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 Ali Mahjoub's NPI number?

The NPI number for Ali Mahjoub is 1639463920. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Ali Mahjoub located?

Ali Mahjoub practices at 545 Sunset Ln, Culpeper, VA 22701. The listed phone number is (540) 829-4352.

What is Ali Mahjoub's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Ali Mahjoub enrolled in Medicare?

Yes. Ali Mahjoub is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ali Mahjoub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Mahjoub reassigns Medicare benefits to 2 organizations: Uva Community Health Medical Group, LLC (Culpeper, VA) and University Of Virginia Physicians Group (Charlottesville, VA). Each 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 Ali Mahjoub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Mahjoub accept?

Health plans from Oscar Health list Ali Mahjoub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ali Mahjoub affiliated with any hospitals?

According to CMS data, Ali Mahjoub is affiliated with University Of Virginia Medical Center, Novant Health Uva Health System Culpeper Med Cente, Novant Prince William Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Ali Mahjoub was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.