Individual provider Active NPI

Anthony Abiola Dasilva, MD

  • Emergency Medicine Physician
  • Berkeley Springs, WV
National Provider Identifier
1952463515
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20067 Issued in WV
Practice address
109 War Memorial Dr
Berkeley Springs, WV 25411-1743
Phone
(304) 258-6569
Fax
(304) 258-0331
NPI assigned
Dec 13, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20067 WV Primary

Addresses

Primary practice location

109 War Memorial Dr
Berkeley Springs, WV 25411-1743

Mailing address

14224 Amberleigh Ter
Silver Spring, MD 20905-5918
Phone (240) 426-5685

Other identifiers 1

IdentifierTypeStateIssuer
1810315-000MedicaidWV

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20067WVMDEmergency Medicine Physician
20087WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC Past Accepting new patients
Rural Kansas Emergency Physicians LLC Emergency Medicine Past Accepting new patients
First Capital Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1952463515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14224 AMBERLEIGH TER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055918",
            "telephone_number": "240-426-5685",
            "fax_number": "301-989-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WAR MEMORIAL DR",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254111743",
            "telephone_number": "304-258-6569",
            "fax_number": "304-258-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "ANTHONY",
        "middle_name": "ABIOLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "20067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810315-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Springs, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.