Active NPI
Donna Anselmo, DO
- Pediatrics Physician
- Glen Allen, VA
National Provider Identifier
1093343386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0102208684
- Practice address
- One Colonial Place
10571 Telegraph Road #110
Glen Allen, VA 23059 - Phone
- (804) 266-1916
- NPI assigned
- Mar 31, 2020
- Last updated
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220921001258 | KY | Order and Referring Only - Pediatric Medicine | 0244615607 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102208684 | VA | MD | Pediatrics Physician |
| R5647 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
| Pediatrics, Inc | Past | 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.