Michael Joseph Annarella, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Melville, NY
NPI 1285227686 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1285227686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 696969 (NY)
- Practice address
- 68 S Service Rd Ste 350
Melville, NY 11747-2358 - Phone
- (888) 240-1793
- NPI assigned
- Feb 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suffolk Anesthesiology Associates PC
North Shore - Lij Anesthesiology, PC
Practice addresses (Care Compare)
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 360-4000
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
Hospital & facility affiliations
- St Charles Hospital
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210921000799 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6103223052 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 696969 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles (9 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Health System Medical Faculty Group Practice Inc | Current |
Accepting new patients | |
| North American Partners in Anesthesia LLP | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| Suffolk Anesthesiology Associates, PC | Current |
Accepting new patients | |
| Office Based Anesthesia LLC | Current |
Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Long Island Anesthesia Physicians LLP | Current |
Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 696969 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 696969 | NY | Yes |
Addresses
Primary practice location
68 S Service Rd Ste 350
Melville, NY 11747-2358
Mailing address
45 Miller PL
Levittown, NY 11756-5756
Phone (516) 643-7399
Other providers in Melville, NY
- Jasmine Anello-Reyes
- Anesthesia Patient Services of Pennsylvania LLC
- Anesthesia Patient Services, PLLC
- Althea E Anglin
- Bonnie Anglin
- Annette Jarrett-Graham
- Annette Jarrett-Graham NP in Psychiatry PC
- Anns Boys Worldwide Luxury Transport Inc
- Amber Anthony
- Maria Antico
All providers in Melville, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.