Individual provider Active NPI

Donna Anselmo, DO

  • Pediatrics Physician
  • Glen Allen, VA
National Provider Identifier
1093343386
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102208684 Issued in VA
Practice address
One Colonial Place
10571 Telegraph Road #110
Glen Allen, VA 23059
Phone
(804) 266-1916
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102208684 VA Primary

Addresses

Primary practice location

One Colonial Place
10571 Telegraph Road #110
Glen Allen, VA 23059

Mailing address

One Colonial Place
10571 Telegraph Road #110
Glen Allen, VA 23059
Phone (804) 266-9616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921001258 KY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0244615607

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102208684VAMDPediatrics Physician
R5647KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics, Inc PastSince Oct 6, 2024 Accepting new patients
Pediatrics, Inc. Pediatrics PastSince Oct 6, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1093343386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE COLONIAL PLACE",
            "address_2": "10571 TELEGRAPH ROAD #110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-266-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE COLONIAL PLACE",
            "address_2": "10571 TELEGRAPH ROAD #110",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23059",
            "telephone_number": "804-266-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMO",
        "first_name": "DONNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102208684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.