Individual provider Active NPI

Anna Lecticia Ribeiro Pinto, MD

  • Pediatric Neurodevelopmental Disabilities Physician
  • Manchester, NH
National Provider Identifier
1588822787
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
15968 Issued in NH
Practice address
87 McGregor St
Suite 1300
Manchester, NH 03102-3765
Phone
(603) 695-2500
NPI assigned
May 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 15968 NH Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 255054 MA

Addresses

Primary practice location

87 McGregor St
Suite 1300
Manchester, NH 03102-3765

Mailing address

87 McGregor St
Suite 1300
Manchester, NH 03102-3765
Phone (603) 695-2500

Other identifiers 2

IdentifierTypeStateIssuer
3083353MedicaidNH
1024349MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130725000051 NH Practitioner - Neurology 6305099532 Reassigns benefits to 2 organizations
I20131203001850 MA Practitioner - Neurology 6305099532 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15968NHMDPediatric Neurodevelopmental Disabilities Physician
255054MAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince Jul 15, 2013 Accepting new patients
Alliance Health Services Neurology With Special Qualifications in Child Neurology CurrentSince Jul 15, 2013 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jul 15, 2013 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Aug 19, 2016 Accepting new patients
C H Neurology Foundation Inc Neurodevelopmental Disabilities CurrentSince Oct 15, 2013 Accepting new patients
Scottish Rite Childrens Medical Ctr Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

87 McGregor St
Ste 1300
Manchester, NH 03102

87 McGregor St
Manchester, NH 03102
Phone (603) 629-1828

Interoperability endpoints

  • Direct secure messaging: aribeiropinto66128@direct.bostonchildrens.org

Organizations & group practices 6

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": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1588822787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MCGREGOR ST",
            "address_2": "SUITE 1300",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023765",
            "telephone_number": "603-695-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MCGREGOR ST",
            "address_2": "SUITE 1300",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023765",
            "telephone_number": "603-695-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "ANNA",
        "middle_name": "LECTICIA RIBEIRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NH",
            "license": "15968",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MA",
            "license": "255054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083353",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024349",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.