Ibtehal A.Sabri Al-Ani, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101242689 Issued in VA

Practice address

1715 West Third Street
Farmville, VA 23901-1199

Phone

(434) 315-0138

Fax

(434) 392-9748

NPI assigned

Apr 21, 2008

Sex

Female

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1609040658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 WEST THIRD STEET",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-315-0138",
            "fax_number": "434-392-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 WEST THIRD STREET",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011199",
            "telephone_number": "434-315-0138",
            "fax_number": "434-392-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ANI",
        "first_name": "IBTEHAL",
        "middle_name": "A.SABRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-21",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101242689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "353719",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA",
            "identifier": "10033324",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609040658",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG/FECA",
            "identifier": "61459603",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jalek Adkins
• Advanceable VA ABA LLC
• Aevum Integrated Health VA LLC
• Peggy C Agee, M.ED., CCC-SLP
• Robert L Agee IV, MD
• Giuliana Allega, M.D.
• Amy Fay Alliston, FNP, PMHNP, IBCLC
• Maria Luisa Ganan Almond, MD
• Janelle Alvarez, DO
• Arfa Amjad

• All providers in Farmville, VA
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.