Active NPI
Amit Annamaneni, MD
- Pulmonary Disease Physician
- Shenandoah, TX
National Provider Identifier
1124010616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- K0609
- Practice address
- 150 Pine Forest Dr Ste 602
Shenandoah, TX 77384-5304 - Phone
- (281) 440-8430
- Fax
- (281) 440-8449
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | K0609 | TX | Primary |
Addresses
Primary practice location
150 Pine Forest Dr Ste 602
Shenandoah, TX 77384-5304
Mailing address
150 Pine Forest Dr Ste 602
Shenandoah, TX 77384-5304
Phone (281) 440-8430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101360903 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110412001046 | TX | Practitioner - Pulmonary Disease | 8426016031 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 Pine Forest Dr
Suite 602
Shenandoah, TX 77384-5304
Phone (281) 440-8430
Hospital & facility affiliations
- Houston Methodist the Woodlands Hospital
- Memorial Hermann Hospital System
- St Luke'S the Woodlands Hospital
- HCA Houston Healthcare Northwest
- Houston Methodist Willowbrook Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Respiratory Center of North Houston, P.a. | Pulmonary Disease | Current | Accepting new patients |
| Woodlands Imaging LP | Past | Accepting new patients |
Locations
710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000
845 FM 1960 Rd W
Ste 103
Houston, TX 77090
Phone (281) 440-8430
800 Peakwood Dr
Ste 4E
Houston, TX 77090
Phone (281) 440-8430
150 Pine Forest Dr
Ste 602
Shenandoah, TX 77384
Phone (281) 440-8430
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDFABA
- https://fhir4.healow.com/fhir/r4/FDFABA/Endpoint/FDFABA
- amit.annamaneni@rconh.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Shenandoah, TX
- NPI 1538104328
Pulmonary Disease, TX
-
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1952456592
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
Hospital
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1124010616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PINE FOREST DR STE 602",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773845304",
"telephone_number": "281-440-8430",
"fax_number": "281-440-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PINE FOREST DR STE 602",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773845304",
"telephone_number": "281-440-8430",
"fax_number": "281-440-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNAMANENI",
"first_name": "AMIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "K0609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101360903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.