Individual provider Active NPI

Patrick F. Annello, M.D.

  • Anesthesiology Physician
  • Roslyn, NY
National Provider Identifier
1508066259
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
237518 Issued in NY
Practice address
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone
(516) 627-0114
Fax
(516) 627-6804
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHS Physician Partners PC 739 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347

2200 Northern Blvd
Greenvale, NY 11548-1219
Phone (516) 325-7310

2200 Northern Blvd
Greenvale, NY 11548-1220

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080825000548 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8224103312 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237518-1NYMDPain Medicine (Anesthesiology) Physician
237518NYMDInterventional Pain Medicine Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
New York Cardiovascular Anesthesiologists, P.C. Anesthesiology CurrentSince Aug 1, 2008 Accepting new patients
CHS Physician Partners, PC Pain Medicine CurrentSince Jan 2, 2016 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 2, 2016 Accepting new patients
Meadowbrook Medical Associates Anesthesiology CurrentSince Nov 17, 2014 Accepting new patients
Pain Therapy Specialists PLLC Pain Medicine Past Accepting new patients

Locations

999 Franklin Ave
Garden City, NY 11530
Phone (516) 742-3404

2200 Northern Blvd
Ste 120
Greenvale, NY 11548
Phone (631) 465-6431

2200 Northern Blvd
Ste 100D
Greenvale, NY 11548
Phone (516) 243-8521

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

100 Port Washington Blvd
#B
Roslyn, NY 11576

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

865 Merrick Ave
Ste 150N
Westbury, NY 11590
Phone (516) 542-3636

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: pannello24443@direct-chsli.net

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 237518 NY Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 237518-1 NY
Interventional Pain Medicine Physician 208VP0014X 237518 NY

Addresses

NPPES NPI Registry

Primary practice location

100 Port Washington Blvd
Roslyn, NY 11576-1347

Mailing address

100 Port Washington Blvd
New York Cardiovascular Anesthesioligists, PC
Roslyn, NY 11576-1347
Phone (516) 627-6624

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
03026340MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2013.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1508066259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "address_2": "NEW YORK CARDIOVASCULAR ANESTHESIOLIGISTS, PC",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761347",
            "telephone_number": "516-627-6624",
            "fax_number": "516-627-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761347",
            "telephone_number": "516-627-0114",
            "fax_number": "516-627-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNELLO",
        "first_name": "PATRICK",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "237518",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "237518-1",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "237518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03026340",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.