ELIZABETH MICHELLE GUNDERSON (MD) – Medical Oncology Physician, NPI 1053401745

ELIZABETH MICHELLE GUNDERSON (MD) is a healthcare provider. based in Suffolk, Virginia. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD60947927 (WA). The NPI Number for ELIZABETH MICHELLE GUNDERSON (MD) is 1053401745

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MICHELLE GUNDERSON (MD)
NPI
1053401745
Phone
(757) 397-4200
Address
5835 Harbour View Blvd
Enumeration Date
13 October 2006
Last Update Date
15 January 2020

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
5092281000
Graduation Year
2003 (23 years ago)
PAC ID
8325186745
Group Practice PAC ID
4688561939
Professional Enrollment ID
I20190708000662
Address ID
WA992161020SP1204XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

368 HEMATOLOGY/ONCOLOGY in VA

Provider Addresses for ELIZABETH MICHELLE GUNDERSON (MD)

  • 5835 Harbour View Blvd

    Suite C

    Suffolk, VA 234352601

    Phone: (757) 397-4200

    Fax: (757) 397-3872

    Type: Location

  • 856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States

    SUITE A

    NEWPORT NEWS, VA 236011318

    Phone:

    Type: Mailing

  • 1204, North Vercler Road, Opportunity, Spokane Valley, Spokane County, Washington, 99216, United States

    SPOKANE VALLEY, WA 992161020

    Phone: (509) 228-1000

    Fax: (509) 252-9300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $526.

Total Amount is formed as General ($526) + Research ($0) + Ownership ($0) = $526.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($72).

Total Amount

$526

General + Research + Ownership

Payments

26

Total payment records

General Amount

$526

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2019-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190708000662IHematology/OncologyWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J9299Injection, nivolumab, 1 mg25,42013$0
J1439Injection, ferric carboxymaltose, 1 mg18,75015$0
J9263Injection, oxaliplatin, 0.5 mg13,76015$0
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)12,60012$0
J0897Injection, denosumab, 1 mg12,24058$0
View full utilization report →

Insurance plans in this area (ZIP 23435)

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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: 4688561939View full group profile

Reviews

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Frequently asked questions

How do payers reference ELIZABETH MICHELLE GUNDERSON (MD)?
For ELIZABETH MICHELLE GUNDERSON (MD), use NPI 1053401745 as the unique 10-digit identifier.
Is there an active status for ELIZABETH MICHELLE GUNDERSON (MD)?
For scheduling context, ELIZABETH MICHELLE GUNDERSON (MD) is shown as active in the registry.
What kind of doctor is ELIZABETH MICHELLE GUNDERSON (MD)?
ELIZABETH MICHELLE GUNDERSON (MD) is associated with Medical Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ELIZABETH MICHELLE GUNDERSON (MD)?
Directory geography for ELIZABETH MICHELLE GUNDERSON (MD) centers on Suffolk, Virginia.
What does 3 location(s) imply?
3 practice locations appear in the available data.