Annette Eichenbaum, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS 10507 Issued in FL

Practice address

4400 140TH Ave N
Suite 110
Clearwater, FL 33762-3832

Phone

(727) 327-2600

Fax

(727) 327-2644

NPI assigned

Nov 4, 2008

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 1

Other names 1

• Dr. Annette Chmielewski Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

New York College of Osteo Medicine of New York Institute of Technology, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinellas Physiatry Associates PAGroup PAC ID 3678678968, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayfront Home Health Services Home health agency, Saint Petersburg, FL, CCN 107742
• Mederi Caretenders Home health agency, Clearwater, FL, CCN 107523
• Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
• Bayfront Health St. Petersburg Inpatient rehabilitation facility, St. Petersburg, FL, CCN 10T032

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CACCAA

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.

• Pinellas Physiatry Associates PA

  • Physical Medicine & Rehabilitation Physician
  • Clearwater, FL
  • NPI 1316098239

  FL, Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayfront Hma Home Health LLC

  • Home Health Agency
  • St Petersburg, FL
  • NPI 1407816465
  Care Compare affiliation
• Caretenders Visiting Services of Pinellas County, LLC

  • Home Health Agency
  • Clearwater, FL
  • NPI 1275602419
  Care Compare affiliation
• Ohi West, Inc

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1154399749

  Hospital

  Care Compare affiliation
• Ohi West, Inc

  • Rehabilitation Hospital Unit
  • St Petersburg, FL
  • NPI 1912975228

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1306099387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100267",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840267",
            "telephone_number": "727-327-2600",
            "fax_number": "727-327-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 140TH AVE N",
            "address_2": "SUITE 110",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623832",
            "telephone_number": "727-327-2600",
            "fax_number": "727-327-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENBAUM",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS 10507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001619000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "CHMIELEWSKI",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie E Egger, PA-C
• Sheleaha C Egly I
• Eric Isaac Egozi, M.D.
• Eh Home Health of the Southeast, LLC
• Hildegard Ruth Ehlers
• John Richard Eifert, DMD
• James Michael Eimer, PT
• Adrienne R Eisner, M.D.
• Ekren Physical Therapy Services Inc
• Filiz Ekren, MDT, PT

• All providers in Clearwater, FL
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.

Verify at the official NPI Registry.