Active NPI
Anne K McDonald, M.D.
- Pediatrics Physician
- Virginia Beach, VA
National Provider Identifier
1568546331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101240496
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101240496 | Other | VA | MEDICAL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Hospital of the Kings Daughters Inc | Current | 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.
-
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1578954590
VA
-
- Specialist
- Virginia Beach, VA
- NPI 1255634648
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.