Active NPI
Anacani Fonseca, MD
- Developmental - Behavioral Pediatrics Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- R3841
- Practice address
- 840 E Redd Rd BLDG 3
El Paso, TX 79912-7265 - Phone
- (915) 270-8057
- Fax
- (888) 268-4808
- NPI assigned
- Sep 2, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | R3841 | TX | Primary |
Addresses
Primary practice location
840 E Redd Rd BLDG 3
El Paso, TX 79912-7265
Mailing address
840 E Redd Rd BLDG 3
El Paso, TX 79912-7265
Phone (915) 270-8057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3841 | TX | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Single Specialty | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Single Specialty | Current | Accepting new patients |
| Developmental Behavioral Pediatrics of El Paso | Developmental - Behavioral Pediatrics | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Single Specialty | Current | Accepting new patients |
Locations
840 E Redd Rd
Bldg 3
El Paso, TX 79912
Phone (915) 270-8057
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
1201 E Schuster Ave
Bldg 7
El Paso, TX 79902
Phone (915) 229-6448
4800 Alberta Ave
#21004
El Paso, TX 79905
Interoperability endpoints
- anacani.fonseca@direct.myhealthep.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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
Single Specialty
-
- Developmental - Behavioral Pediatrics Physician
- El Paso, TX
- NPI 1366177891
-
- Pediatrics Physician
- El Paso, TX
- NPI 1003824038
Single Specialty
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1972810539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 E REDD RD BLDG 3",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127265",
"telephone_number": "915-270-8057",
"fax_number": "888-268-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 E REDD RD BLDG 3",
"city": "EL PASO",
"state": "TX",
"postal_code": "799127265",
"telephone_number": "915-270-8057",
"fax_number": "888-268-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "ANACANI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "TX",
"license": "R3841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.