Active NPI
Michael Samuel Amster, MD
- Pediatrics Physician
- Warrenton, VA
National Provider Identifier
1821097478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101231776
- Practice address
- 28 Blackwell Park LN
Suite 103
Warrenton, VA 20186-2685 - Phone
- (540) 349-3225
- Fax
- (540) 349-1204
- NPI assigned
- Jul 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 0101231776 | VA | Primary |
Addresses
Primary practice location
28 Blackwell Park LN
Suite 103
Warrenton, VA 20186-2685
Mailing address
28 Blackwell Park LN
Suite 103
Warrenton, VA 20186-2685
Phone (540) 349-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023133410 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101231776 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Warrenton Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
| Fauquier Physician Practices LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- michael.amstermd.p13@direct.warrentonpeds.nextgenshare.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Warrenton, VA
- NPI 1770916983
Pediatrics
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1821097478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 BLACKWELL PARK LN",
"address_2": "SUITE 103",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862685",
"telephone_number": "540-349-3225",
"fax_number": "540-349-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 BLACKWELL PARK LN",
"address_2": "SUITE 103",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862685",
"telephone_number": "540-349-3225",
"fax_number": "540-349-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMSTER",
"first_name": "MICHAEL",
"middle_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-17",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101231776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023133410",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.