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NORTHERN VIRGINIA HEMATOLOGY ONCOLOGY ASSOCIATES PC
NPI 1912064585
Internal Medicine - Hematology & Oncology in Woodbridge, VA

Active since January 03, 2007CLIA Certified · 2 labs
2079 DANIEL STUART SQ, WOODBRIDGE, VA 22191(703) 491-5600(703) 491-1744 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Jan 17, 2017 (2 updates tracked since 2017).

About Northern Virginia Hematology Oncology Associates Pc NPPES

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

NORTHERN VIRGINIA HEMATOLOGY ONCOLOGY ASSOCIATES PC (NPI 1912064585) is a healthcare organization registered as a hematology & oncology in Woodbridge, Virginia and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Hamed Khosravi, Owner, as its authorized official.

NPPES Registry Identity

NPI1912064585
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameNORTHERN VIRGINIA HEMATOLOGY ONCOLOGY ASSOCIATES PC
Location Address2079 DANIEL STUART SQWoodbridge, VA 22191-3317
Mailing Address2079 Daniel Stuart SqWoodbridge, VA 22191-3317 · (703) 491-5600 · Fax (703) 491-1744
Phone(703) 491-5600
Fax(703) 491-1744
Organization SubpartNo
Authorized OfficialHamed KhosraviOwner · (703) 491-5600
Enumeration DateJanuary 3, 2007
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1912064585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
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.
2079 DANIEL STUART SQ, Woodbridge, VA 22191
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Other Identifiers 1

Other1135Carefirst Bc Bs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Virginia Hematology Oncology Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Northern Virginia Hematology Oncology Associates PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Jennifer Alger, NP
Nurse Practitioner
NPI 1558193102
2079 DANIEL STUART SQ
Woodbridge, VA 22191
(425) 232-0793
✔ PECOSSame address
Hamed Khosravi, M.D.
Hematology/Oncology
NPI 1407802671
2079 DANIEL STUART SQ
Woodbridge, VA 22191
(703) 491-5600
✔ PECOS✔ Accepts MedicareSame address
Fiona Mienko
Hematology/Oncology
NPI 1023495066
2280 OPITZ BLVD
Woodbridge, VA 22191
(703) 590-8300
✔ PECOS✔ Accepts Medicare0.4 mi
Ghana Kang, M.D.
Hematology/Oncology
NPI 1417260472
8081 INNOVATION PARK DR
Fairfax, VA 22031
(571) 472-4724
✔ PECOS✔ Accepts Medicare16 mi
Kelly Dewyer
Nurse Practitioner
NPI 1932579893
2150 PENNSYLVANIA AVE NW
Washington, DC 20037
(202) 677-6903
✔ PECOS✔ Accepts Medicare22 mi
Shreekriti Karki, NP
Nurse Practitioner
NPI 1811677164
777 N BROADWAY STE 102
Sleepy Hollow, NY 10591
(914) 366-1624
✔ PECOS✔ Accepts Medicare249 mi
Courtney Richardson
Nurse Practitioner
NPI 1952700254
245 MEMORIAL DR
Jacksonville, NC 28546
(910) 353-4333
✔ PECOS267 mi
Mona Yazdani
Nurse Practitioner
NPI 1356147441
3075 HEALTH CENTER DR STE 102
San Diego, CA 92123
(858) 637-7888
✔ PECOS✔ Accepts Medicare2,260 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 49D1080580

Northern Virginia Hematology Oncology Associates PC · Woodbridge, VA
Active · expires Nov 11, 2027
CLIA Number49D1080580
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorHamed Khosravi
Laboratory Phone(703) 491-5600
Laboratory LocationNorthern Virginia Hematology Oncology Associates PC2079 Daniel Stuart Square, Woodbridge, VA 22191
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 49D2159820

Northern Virginia Hematology Oncology Associates Manassas · Manassas, VA
Active · expires Apr 28, 2027
CLIA Number49D2159820
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorHamed Khosravi
Laboratory Phone(703) 491-5600
Laboratory LocationNorthern Virginia Hematology Oncology Associates Manassas8140 Ashton Ave Suite 210, Manassas, VA 20109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Northern Virginia Hematology Oncology Associates PC's NPI number?

The NPI number for Northern Virginia Hematology Oncology Associates PC is 1912064585. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Northern Virginia Hematology Oncology Associates PC located?

Northern Virginia Hematology Oncology Associates PC is located at 2079 Daniel Stuart Sq, Woodbridge, VA 22191. The listed phone number is (703) 491-5600.

What is Northern Virginia Hematology Oncology Associates PC's specialty?

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

Is Northern Virginia Hematology Oncology Associates PC enrolled in Medicare?

Yes. Northern Virginia Hematology Oncology Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Virginia Hematology Oncology Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Northern Virginia Hematology Oncology Associates PC. 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. The largest specialties are Nurse Practitioner (5) and Hematology/Oncology (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northern Virginia Hematology Oncology Associates PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northern Virginia Hematology Oncology Associates PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 30 other insurers list Northern Virginia Hematology Oncology Associates PC 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.

When was this NPI record last updated?

The NPPES record for Northern Virginia Hematology Oncology Associates PC was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.