NPIMap

Olivia Y Alegre - Ipanag, MD

Individual provider Active NPI Pediatrics Physician · Portsmouth, VA

NPI 1437129202 · NPPES record last updated Apr 7, 2011

Key facts

NPI
1437129202
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
0101222184 (VA)
Practice address
446 Effingham St.
Ste 302
Portsmouth, VA 23704-4818
Phone
(757) 673-6277
Fax
(757) 673-6411
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101222184VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Pediatrics, PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9232/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101222184 VA Yes

Addresses

Primary practice location

446 Effingham St.
Ste 302
Portsmouth, VA 23704-4818

Mailing address

446 Effingham St Ste 302
Portsmouth, VA 23704-3464
Phone (757) 673-6277

Other providers in Portsmouth, VA

All providers in Portsmouth, VA · Pediatrics Physician in Virginia

Sources for this page

Verify at the official NPI Registry.