Individual provider Active NPI

Ana M Montanez Concepcion, MD

  • Pediatrics Physician
  • Hampton, VA
National Provider Identifier
1679875934
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U1536 Issued in TX
Practice address
23 Manhattan SQ
Hampton, VA 23666-5843
Phone
(757) 668-2216
NPI assigned
Nov 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D83967 MD
Pediatrics Physician 208000000X 28082-R PR
Pediatrics Physician 208000000X PT12512 ND
Pediatrics Physician 208000000X 0101258397 VA
Pediatrics Physician 208000000X U1536 TX Primary

Addresses

Primary practice location

23 Manhattan SQ
Hampton, VA 23666-5843

Mailing address

2627 Dolcetto GRV
San Antonio, TX 78259-1862

Other identifiers 2

IdentifierTypeStateIssuer
U1536OtherTXSTATE ISSUED UNRESTRICTED MEDICAL LICENSE
D83967OtherMDSTATE ISSUED UNRESTRICTED MEDICAL LICENSE

Other names 1

  • Ana M Montanez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230724001105 TX Practitioner - Pediatric Medicine 9638322431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D83967MDMDPediatrics Physician
28082-RPRMDPediatrics Physician
U1536TXMDPediatrics Physician
0101258397VAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: ana.montanezconcepcion.p1@direct.centromed.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1679875934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 DOLCETTO GRV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MANHATTAN SQ",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665843",
            "telephone_number": "757-668-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ CONCEPCION",
        "first_name": "ANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D83967",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "28082-R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ND",
            "license": "PT12512",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101258397",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED UNRESTRICTED MEDICAL LICENSE",
            "identifier": "U1536",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED UNRESTRICTED MEDICAL LICENSE",
            "identifier": "D83967",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "MONTANEZ",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.