Anju Annie Mammen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M7397 Issued in TX

Practice address

777 S Fry Rd
Suite 207
Katy, TX 77450-2244

Phone

(281) 492-7676

Fax

(281) 492-8133

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Miss Anju Annie Koshy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: anju.mammen@westpedi.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IFJADA/Endpoint/IFJADA

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.

• Katy Pediatric Associates

  • Pediatrics Physician
  • Houston, TX
  • NPI 1003091356
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1073572525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S FRY RD",
            "address_2": "SUITE 207",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502244",
            "telephone_number": "281-492-7676",
            "fax_number": "281-492-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S FRY RD",
            "address_2": "SUITE 207",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502244",
            "telephone_number": "281-492-7676",
            "fax_number": "281-492-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMEN",
        "first_name": "ANJU",
        "middle_name": "ANNIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M7397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCS",
            "identifier": "010042497CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282923603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236164",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTC",
            "identifier": "042497",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJU",
            "last_name": "KOSHY",
            "middle_name": "ANNIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nanki Malik, RN
• Kritika Malla
• Yoshita Malneedi, PA-C
• Malone Health, Inc.
• Ashley Blythe Malone
• Florence Elsie Mammi
• Mana Homehealth Agency LLC
• Sasha Mancilla
• Alexandra Mandola, DO
• Cyprine Manduku

• Pediatrics Physician in Katy, TX
• Providers in Katy, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.