Anselm Chibuike Anyoha, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

035279 Issued in CT

Practice address

3715 Main St
Suite 403
Bridgeport, CT 06606-3618

Phone

(203) 371-4800

Fax

(203) 371-4900

NPI assigned

Jul 26, 2006

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, CT2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: aanyoha756908@direct.ochin.org
• Direct secure messaging: anselm.anyoha.1@14448.direct.athenahealth.com
• Direct secure messaging: modernerapediatrics@ctproviderdirect.org

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.

• South-West Community Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgeport, CT
  • NPI 1699703686
  Medicare reassignment NPD
• St John's Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1023042173
  Medicare reassignment
• Modern Era Pediatric Practice

  • Pediatric Adolescent Medicine Physician
  • Bridgeport, CT
  • NPI 1194817460
  NPD (past) Authorized official
• Caritas Emergency Medical Services, PC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1225134851
  NPD (past)
• Caritas Emergency Medical Services, PC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Elmhurst, NY
  • NPI 1518063155
  NPD (past)
• CMC Radiological Services PC

  dba St Vincents Catholic Medical Center

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)
• Episcopal Health Services Inc

  dba St John's Episcopal Hospital SS

  • General Acute Care Hospital
  • Far Rockaway, NY
  • NPI 1346274537
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1598788770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST",
            "address_2": "SUITE 403",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063618",
            "telephone_number": "203-371-4800",
            "fax_number": "203-371-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST",
            "address_2": "SUITE 403",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063618",
            "telephone_number": "203-371-4800",
            "fax_number": "203-371-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYOHA",
        "first_name": "ANSELM",
        "middle_name": "CHIBUIKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "035279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001352799",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dave P Antignani, PA-C
• Marian Antinozzi
• Marcdana Antoine
• Michael Constantine Antonellis
• Samuel Antwi-Boasiako, MD
• Sree Rani Aovuthu
• Apex Health Services
• Frederick Lopez Apiado, M.D.
• Apogee Home Healthcare
• Apple Rehab

• Pediatrics Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.