MR. MASOOM M KANDAHARI (MD FACP) – Hematology & Oncology Physician, NPI 1467448100

MR. MASOOM M KANDAHARI (MD FACP) is a healthcare provider. based in Atlanta, Georgia. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD FACP. They hold a License No. 0101040044 (VA). The NPI Number for MR. MASOOM M KANDAHARI (MD FACP) is 1467448100

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MR. MASOOM M KANDAHARI (MD FACP)
NPI
1467448100
Phone
Not provided
Address
PO BOX 117287
Enumeration Date
27 September 2005
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5267353226
Graduation Year
1979 (47 years ago)
PAC ID
6709855174
Group Practice PAC ID
5698872398
Professional Enrollment ID
I20240727000585
Address ID
CA919104429CH450XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

368 HEMATOLOGY/ONCOLOGY in VA

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Provider Addresses for MR. MASOOM M KANDAHARI (MD FACP)

  • PO BOX 117287

    ATLANTA, GA 303687287

    Phone:

    Fax: (813) 321-1296

    Type: Mailing

  • Century Medical Building, 2280, Opitz Boulevard, Featherstone Mobile Home Park, Woodbridge, Prince William County, Virginia, 22191, United States

    #220

    WOODBRIDGE, VA 221913362

    Phone: (703) 551-0505

    Fax: (703) 551-0050

    Type: Mailing

  • 31860 PASEO NAVARRA

    SAN JUAN CAPISTRANO, CA 926753651

    Phone:

    Type: Mailing

  • 1350 WOODSIDE DR

    MC LEAN, VA 221021530

    Phone:

    Type: Mailing

  • 2280 OPITZ BLVD STE 340

    WOODBRIDGE, VA 221913362

    Phone: (703) 590-8300

    Fax: (703) 590-8301

    Type: Location

  • 27450 YNEZ RD STE 116

    TEMECULA, CA 925914649

    Phone: (951) 234-7006

    Fax: (951) 225-9938

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,283.

Total Amount is formed as General ($1,283) + Research ($0) + Ownership ($0) = $1,283.

Last reported payment date: 2024-12-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($237).

Total Amount

$1,283

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101006000145IHematology/OncologyVATBD
I20240727000585IHematology/OncologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30368)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698872398View full group profile
NameSpecialtyState
-CA
H E M A T O L O G Y/ O N C O L O G YTX
H E M A T O L O G Y/ O N C O L O G YCA
-NV
Nurse PractitionerCA
Nurse PractitionerWA
Nurse PractitionerCA
Physician AssistantCA
Hematology/Oncology, Internal MedicineCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How is MR. MASOOM M KANDAHARI (MD FACP) identified in CMS data?
CMS-hosted NPPES data lists MR. MASOOM M KANDAHARI (MD FACP) with NPI 1467448100.
Does CMS list MR. MASOOM M KANDAHARI (MD FACP) as active?
Yes — MR. MASOOM M KANDAHARI (MD FACP) is active in the NPI listing used on this page.
What taxonomy line describes MR. MASOOM M KANDAHARI (MD FACP)?
For research purposes, treat MR. MASOOM M KANDAHARI (MD FACP) as Hematology & Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. MASOOM M KANDAHARI (MD FACP) based?
MR. MASOOM M KANDAHARI (MD FACP) is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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