Active NPI
Ana C. Sanchez, MD
- Pediatric Neurodevelopmental Disabilities Physician
- Boston, MA
National Provider Identifier
1659373397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Neurodevelopmental Disabilities Physician
- License
- 257554
- Practice address
- 850 Harrison Ave
Yacc 6
Boston, MA 02118-4001 - Phone
- (617) 414-4841
- Fax
- (617) 414-6040
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Baxter Springs, KS
- NPI 1487351086
-
- Federally Qualified Health Center (FQHC)
- Frontenac, KS
- NPI 1811999683
-
- Ambulatory Surgical Clinic/Center
- Laconia, NH
- NPI 1942388327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060814000247 | NH | Practitioner - Pediatric Medicine | 1850288499 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30014 | KS | MD | Pediatrics Physician |
| 257554 | MA | MD | Pediatric Neurodevelopmental Disabilities Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Professional Services | Current | Accepting new patients | |
| LRG Healthcare | Past | Accepting new patients | |
| Community Health Center of Southeast Kansas, Inc | Past | Accepting new patients | |
| Community Health Center of Southeast Kansas Inc | Past | Accepting new patients |
Locations
275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
Interoperability endpoints
- asanchez8285@direct.solutionhealth.org
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-30014 | KS | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 04-30014 | KS | |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 257554 | MA | Primary |
| Pediatrics Physician | 208000000X | 257554 | MA |
Addresses
NPPES NPI RegistryPrimary practice location
850 Harrison Ave
Yacc 6
Boston, MA 02118-4001
Mailing address
720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30206137 | Medicaid | NH | |
| 110101679A | Medicaid | MA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2016.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1659373397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE",
"address_2": "YACC 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184001",
"telephone_number": "617-414-4841",
"fax_number": "617-414-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "ANA",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-30014",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "KS",
"license": "04-30014",
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "MA",
"license": "257554",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "257554",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30206137",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110101679A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.