Individual provider Active NPI

Beth Ellen Anlas, D.O.

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1871723700
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS11611 Issued in FL
Practice address
12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210
Phone
(813) 998-8600
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS11611 FL Primary

Addresses

Primary practice location

12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210

Mailing address

10926 Charmwood Dr
Riverview, FL 33569-6254
Phone (908) 797-0768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130124000367 FL Practitioner - Internal Medicine 2668626755

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11611FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Vamc PastSince Jul 10, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1871723700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 CHARMWOOD DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335696254",
            "telephone_number": "908-797-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 SUMMERFIELD CROSSING BLVD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797210",
            "telephone_number": "813-998-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANLAS",
        "first_name": "BETH",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.