2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1336581347 MD
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ANA ALBUJA PONCE, MD

Neurology with Special Qualifications in Child Neurology Physician in PROVIDENCE, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
100
Medicare Part D claims · Neurology with Special Qualifications in Child Neurology Physician avg: 359
What the federal data reveals: ANA ALBUJA PONCE, MD is a Neurology with Special Qualifications in Child Neurology Physician ([object Object]) practicing in PROVIDENCE, Rhode Island with a Medicare Part D prescribing footprint of 100 claims .

What stands out: ANA ALBUJA PONCE, MD filed 100 Medicare Part D claims in 2023 across PROVIDENCE, Rhode Island. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANA ALBUJA PONCE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ANA ALBUJA PONCE, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/19/2013

NPI 1336581347

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

100 72% vs specialty avg

2023 prescription claims

Specialty avg: 359

Specialty distribution in Rhode Island

How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Neurology with Special Qualifications in Child Neurology Physician share within Rhode Island

1. Neurology with Special Qualifications in Child Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology with Special Qualifications in Child Neurology Physician share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Neurology with Special Qualifications in Child Neurology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Neurology with Special Qualifications in Child Neurology Physician ABMS/AOA estimate

Est. board-certified rate (Neurology with Special Qualifications in Child Neurology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Neurology with Special Qualifications in Child Neurology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANA ALBUJA PONCE, MD is a Neurology with Special Qualifications in Child Neurology Physician provider practicing in PROVIDENCE, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1336581347. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANA ALBUJA PONCE, MD appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding MD credentials at 593 EDDY ST, PROVIDENCE, RI, 02903, with a listed phone of (401) 444-6195. NPI 1336581347 was issued on 07/19/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALBUJA PONCE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 100 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $10K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

593 EDDY ST
PROVIDENCE, RI 02903

Provider Details

NPI 1336581347
Specialty Neurology with Special Qualifications in Child Neurology Physician
Credentials MD
Gender Female
NPI Issued 07/19/2013

Hospital and facility affiliations

Facilities where ANA ALBUJA PONCE, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

RHODE ISLAND HOSPITAL
★★★★☆ 4/5
PROVIDENCE, RI
Acute Care Hospitals
CMS CCN: 410007

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

100
Total Claims
$10K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
141
Total Day Supply
4,205
Brand Drug Cost
$0
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
28.7 years
Avg HCC Risk Score
1.12

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Lacosamide
19
Carbamazepine Er
Carbamazepine
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Neurology with Special Qualifications in Child Neurology Physician Overview

How ANA ALBUJA PONCE, MD fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.

1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider

ANA ALBUJA PONCE, MD's 100 claims are below the specialty average of 359.

Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as ALBUJA PONCE.

Compare Neurology with Special Qualifications in Child Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANA ALBUJA PONCE, MD's specialty?
ANA ALBUJA PONCE, MD specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in PROVIDENCE, Rhode Island. Credentials: MD.
How much does ANA ALBUJA PONCE, MD prescribe under Medicare Part D?
In 2023, ANA ALBUJA PONCE, MD wrote 100 Medicare Part D claims totaling $10K in drug costs for N/A beneficiaries.
Where is ANA ALBUJA PONCE, MD located?
ANA ALBUJA PONCE, MD is located at 593 EDDY ST, PROVIDENCE, RI, 02903. Phone: (401) 444-6195.
What is ANA ALBUJA PONCE, MD's NPI number?
ANA ALBUJA PONCE, MD's National Provider Identifier (NPI) is 1336581347, issued on 07/19/2013.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US?
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does ANA ALBUJA PONCE, MD prescribe most often?
Based on 2023 Medicare Part D data, ANA ALBUJA PONCE, MD's most frequently prescribed drugs include Lacosamide, Carbamazepine Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANA ALBUJA PONCE, MD accept Medicare?
ANA ALBUJA PONCE, MD appears in CMS Medicare data with 100 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANA ALBUJA PONCE, MD's credentials?
ANA ALBUJA PONCE, MD's NPI is 1336581347 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology