Active NPI
Anthony Robert Neri, MD
- Pediatrics Physician
- Woodstock, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101228201
- Practice address
- 1065 S Main St
Woodstock, VA 22664-1041 - Phone
- (540) 459-3435
- Fax
- (540) 459-3536
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101228201 | VA | Primary |
Addresses
Primary practice location
1065 S Main St
Woodstock, VA 22664-1041
Mailing address
115 Quail Hollow Dr
Woodstock, VA 22664-4027
Phone (540) 459-5025
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006736203 | Medicaid | VA | |
| 183897 | Other | VA | ANTHEM- STRASBURG |
| 010203244 | Medicaid | VA | |
| 292394 | Other | VA | ANTHEM- WOODSTOCK |
| 020620218 | Other | TAX ID # |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aneri110473@soc.inova.org | ||
| Direct Messaging Address | aneri110473@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101228201 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Pediatrics, PC | Pediatrics | Past | Accepting new patients |
Locations
5173 Main St
Mount Jackson, VA 22842
Phone (540) 459-1350
220 Campus Blvd
Ste 100
Winchester, VA 22601
759 S Main St
Ste 106
Woodstock, VA 22664
Phone (540) 459-1325
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
Interoperability endpoints
- aneri110473@valleyhealth.direct-ci.com
- aneri110473@soc.inova.org
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.
-
- Rural Health Clinic/Center
- Woodstock, VA
- NPI 1952417735
-
- Rural Health Clinic/Center
- New Market, VA
- NPI 1740711472
-
- Critical Access Hospital
- Woodstock, VA
- NPI 1033166442
-
- Pediatrics Physician
- Woodstock, VA
- NPI 1053496885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1760575567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 QUAIL HOLLOW DR",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226644027",
"telephone_number": "540-459-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 S MAIN ST",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226641041",
"telephone_number": "540-459-3435",
"fax_number": "540-459-3536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERI",
"first_name": "ANTHONY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101228201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006736203",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM- STRASBURG",
"identifier": "183897",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010203244",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM- WOODSTOCK",
"identifier": "292394",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "020620218",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aneri110473@soc.inova.org",
"affiliation": "N",
"address_1": "759 S Main St",
"city": "Woodstock",
"state": "VA",
"country_code": "US",
"postal_code": "226641154",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aneri110473@soc.inova.org",
"affiliation": "N",
"address_1": "5173 Main St",
"city": "Mount Jackson",
"state": "VA",
"country_code": "US",
"postal_code": "228429513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodstock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.