Active NPI
Binu Pannachan, NP
- Adult Health Nurse Practitioner
- Natchez, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 902441
- Practice address
- 150 Jefferson Davis Blvd Ste 100
Natchez, MS 39120-5120 - Phone
- (601) 273-3554
- Fax
- (601) 653-9589
- NPI assigned
- Dec 15, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 902441 | MS | Primary |
Addresses
Primary practice location
150 Jefferson Davis Blvd Ste 100
Natchez, MS 39120-5120
Mailing address
150 Jefferson Davis Blvd Ste 100
Natchez, MS 39120-5120
Phone (601) 273-3554
Other practice location 1
1600 Ee Wallace Blvd N
Ferriday, LA 71334-2241
Phone (601) 273-3554
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08452308 | Medicaid | MS | |
| 2478893 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000
Hospital & facility affiliations
- Medstar Washington Hospital Center
- Medstar Georgetown University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.97 of 100
- Quality
- 72.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MGMC LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients | |
| Medstar Georgetown Medical Center, Inc | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Fl 2
Washington, DC 20007
Phone (202) 444-3023
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
Organizations & group practices 8
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.
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Anesthesiology Physician
- Washington, DC
- NPI 1023836137
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Psychiatry Physician
- Washington, DC
- NPI 1316949654
-
- Internal Medicine Physician
- Washington, DC
- NPI 1285636522
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1427145176
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1184130908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 JEFFERSON DAVIS BLVD STE 100",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391205120",
"telephone_number": "601-273-3554",
"fax_number": "601-653-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 JEFFERSON DAVIS BLVD STE 100",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391205120",
"telephone_number": "601-273-3554",
"fax_number": "601-653-9589"
}
],
"practiceLocations": [
{
"address_1": "1600 Ee Wallace Blvd N",
"address_purpose": "LOCATION",
"city": "Ferriday",
"state": "LA",
"postal_code": "713342241",
"country_code": "US",
"telephone_number": "601-273-3554",
"fax_number": "601-653-9589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANNACHAN",
"first_name": "BINU",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-15",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MS",
"license": "902441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08452308",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2478893",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.