Individual provider Active NPI

Concepcion Sorilla Anayas, M.D.

  • Pediatrics Physician
  • Deland, FL
National Provider Identifier
1851475271
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME47889 Issued in FL
Practice address
1190 N Stone St
Deland, FL 32720-2511
Phone
(386) 738-1792
Fax
(386) 738-4865
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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 ME47889 FL Primary

Addresses

Primary practice location

1190 N Stone St
Deland, FL 32720-2511

Mailing address

1190 N Stone St
Deland, FL 32720-2511
Phone (386) 738-1792

Other identifiers 1

IdentifierTypeStateIssuer
043411600MedicaidFL

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

LicenseStateTypeSpecialty
ME47889FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Center of West Volusia Past Accepting new patients
Community Medical Center of West Volusia PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: concepcionanayas@cmcwv.allscriptsdirect.net

Organizations & group practices 2

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1851475271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202511",
            "telephone_number": "386-738-1792",
            "fax_number": "386-738-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202511",
            "telephone_number": "386-738-1792",
            "fax_number": "386-738-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAYAS",
        "first_name": "CONCEPCION",
        "middle_name": "SORILLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME47889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043411600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.