Individual provider Active NPI

Anastasia Dumbra Cleary, MD

  • Family Medicine Physician
  • Warsaw, VA
National Provider Identifier
1083817811
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101239798 Issued in VA
Practice address
199 Main St
Warsaw, VA 22572-5216
Phone
(804) 207-3194
Fax
(804) 207-3141
NPI assigned
Jun 8, 2007
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101239798 VA Primary

Addresses

Primary practice location

199 Main St
Warsaw, VA 22572-5216

Mailing address

PO Box 1712
Warsaw, VA 22572-1712
Phone (804) 207-3194

Other practice location 1

300 Mt Clement Park
Ste C
Tappahannock, VA 22560-5098
Phone (804) 443-6063

Other identifiers 1

IdentifierTypeStateIssuer
1083817811MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Neck Acupuncture LLC Current Accepting new patients
Riverside Physician Services Inc Family Medicine PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1083817811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1712",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225721712",
            "telephone_number": "804-207-3194",
            "fax_number": "804-207-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225725216",
            "telephone_number": "804-207-3194",
            "fax_number": "804-207-3141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Mt Clement Park",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605098",
            "country_code": "US",
            "telephone_number": "804-443-6063",
            "fax_number": "804-443-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "ANASTASIA",
        "middle_name": "DUMBRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101239798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083817811",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, VA

Sources for this page

Verify at the official NPI Registry.