Individual provider Active NPI

Anne K McDonald, M.D.

  • Pediatrics Physician
  • Virginia Beach, VA
National Provider Identifier
1568546331
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101240496 Issued in VA
Practice address
3960 Virginia Beach Blvd FL 1
Virginia Beach, VA 23452-2449
Phone
(757) 668-4648
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 0101240496 VA Primary

Addresses

Primary practice location

3960 Virginia Beach Blvd FL 1
Virginia Beach, VA 23452-2449

Mailing address

332 Bay Colony Dr
Virginia Beach, VA 23451-3818
Phone (757) 575-5290

Other practice location 1

1004 First Colonial Rd Ste 103
Virginia Beach, VA 23454-3070
Phone (757) 806-8880

Other identifiers 1

IdentifierTypeStateIssuer
0101240496OtherVAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070321000653 VA Practitioner - Pediatric Medicine 0244333714 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital of the Kings Daughters Inc CurrentSince Jan 10, 2026 Accepting new patients
Beach Kids Pediatrics PLLC Specialist Past Accepting new patients

Locations

817 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 668-4630

3960 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23452
Phone (757) 668-4648

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1568546331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BAY COLONY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234513818",
            "telephone_number": "757-575-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 VIRGINIA BEACH BLVD FL 1",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522449",
            "telephone_number": "757-668-4648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 First Colonial Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543070",
            "country_code": "US",
            "telephone_number": "757-806-8880",
            "fax_number": "757-806-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ANNE",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101240496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101240496",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.