Individual provider Active NPI

Anie A Cherian, D.P.M.

  • Podiatrist
  • Jourdanton, TX
National Provider Identifier
1013981448
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2305 Issued in TX
Practice address
180 County Road 300
Jourdanton, TX 78026
Phone
(847) 504-5000
Fax
(847) 504-5015
NPI assigned
Feb 14, 2006
Last updated
May 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2305 TX Primary

Addresses

Primary practice location

180 County Road 300
Jourdanton, TX 78026

Mailing address

PO Box 917
Northbrook, IL 60065-0917
Phone (847) 504-5000

Other practice location 1

1775 Richmond Ave
Staten Island, NY 10314-3907
Phone (917) 816-5078

Other identifiers 4

IdentifierTypeStateIssuer
395080004MedicaidTX
395080001MedicaidTX
395080002MedicaidTX
395080003MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321000173 TX Practitioner - Podiatry 3072548205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

100 Gay St
Menard, TX 76859-0608
Phone (325) 396-4515

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2974
Removal or shaving of skin growth946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Feb 1, 2019 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Feb 1, 2019 Accepting new patients
Hear & See Right Inc Past Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Locations

3706 Adelphi Ln
Austin, TX 78727
Phone (512) 833-9253

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800

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, 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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1013981448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650917",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 COUNTY ROAD 300",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "78026",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103143907",
            "country_code": "US",
            "telephone_number": "917-816-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERIAN",
        "first_name": "ANIE",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395080004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395080001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395080002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395080003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jourdanton, TX

Sources for this page

Verify at the official NPI Registry.