Individual provider Active NPI

Anthony Robert Neri, MD

  • Pediatrics Physician
  • Woodstock, VA
National Provider Identifier
1760575567
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101228201 Issued in VA
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

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
006736203MedicaidVA
183897OtherVAANTHEM- STRASBURG
010203244MedicaidVA
292394OtherVAANTHEM- WOODSTOCK
020620218OtherTAX ID #

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200622000011 VA Practitioner - Pediatric Medicine 2365722295 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101228201VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital Inc. CurrentSince May 19, 2020 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince May 19, 2020 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

  • Direct secure messaging: aneri110473@valleyhealth.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.