Active NPI
Thiru Mandyam Annaswamy, M.D., M.A.
- Physical Medicine & Rehabilitation Physician
- Hummelstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD477514
- Practice address
- 1135 Olde W Chocolate Ave Ste 101
Hummelstown, PA 17036-9188 - Phone
- (717) 531-7010
- Fax
- (717) 531-7102
- NPI assigned
- Jul 22, 2006
- Last updated
- Feb 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | K7977 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD477514 | PA | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | K7977 | TX | |
| Pain Medicine Physician | 208VP0000X | MD477514 | PA | |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | MD477514 | PA | |
| Electrodiagnostic Medicine Physician | 204R00000X | MD477514 | PA |
Addresses
Primary practice location
1135 Olde W Chocolate Ave Ste 101
Hummelstown, PA 17036-9188
Mailing address
PO Box 850
Hershey, PA 17033-0850
Phone (717) 531-4263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 Olde W Chocolate Ave
Suite 101
Hummelstown, PA 17036-9188
Phone (717) 531-7010
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K7977 | TX | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| MD477514 | PA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Past | Accepting new patients |
Locations
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
1135 Olde W Chocolate Ave
#101
Hummelstown, PA 17036
Phone (717) 531-7010
4500 S Lancaster Rd
#117
Dallas, TX 75216
Phone (214) 857-0819
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
2655 Villa Creek Dr
Farmers Branch, TX 75234
Phone (214) 736-8376
Organizations & group practices 7
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.
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-
- Anesthesiology Physician
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- NPI 1942270566
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Physical Medicine & Rehabilitation Physician
- Hummelstown, PA
- NPI 1609841063
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1932174984
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Hershey, PA
- NPI 1255482089
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1083635353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330850",
"telephone_number": "717-531-4263",
"fax_number": "717-566-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 OLDE W CHOCOLATE AVE STE 101",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170369188",
"telephone_number": "717-531-7010",
"fax_number": "717-531-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNASWAMY",
"first_name": "THIRU",
"middle_name": "MANDYAM",
"name_prefix": "Dr.",
"credential": "M.D., M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "K7977",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD477514",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "K7977",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "PA",
"license": "MD477514",
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "PA",
"license": "MD477514",
"primary": false
},
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "PA",
"license": "MD477514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hummelstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.