Individual provider Active NPI

Annamaria T Church, MD

  • Pediatrics Physician
  • Indio, CA
National Provider Identifier
1669452371
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G162055 Issued in CA
Practice address
82934 Civic Center Dr
Indio, CA 92201-4308
Phone
(909) 382-7100
NPI assigned
Jan 19, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G162055 CA Primary
Pediatrics Physician 208000000X 4301044151 MI
Pediatrics Physician 208000000X 44006 TN

Addresses

Primary practice location

82934 Civic Center Dr
Indio, CA 92201-4308

Mailing address

82934 Civic Center Dr
Indio, CA 92201-4308

Other practice location 1

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 975-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080910000636 TN Practitioner - Pediatric Medicine 8325114606 Reassigns benefits to 2 organizations
I20160505001408 FL Practitioner - Pediatric Medicine 8325114606 Reassigns benefits to 1 organization
I20180124000293 MI Practitioner - Pediatric Medicine 8325114606 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G162055CAMDPediatrics Physician
44006TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Medical Center CurrentSince Jan 13, 2020 Accepting new patients
Aspirus Keweenaw CurrentSince Dec 23, 2017 Accepting new patients
WT Medical Associates Current Accepting new patients
WT Medical Associates CurrentSince Oct 1, 2024 Accepting new patients
WT Medical Associates CurrentSince Oct 1, 2024 Accepting new patients
Henry County Medical Center CurrentSince Jan 13, 2020 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

243 Jim Adams Dr
Paris, TN 38242
Phone (731) 644-2747

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • Direct secure messaging: achurch@hcmcclinics.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1669452371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82934 CIVIC CENTER DR",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82934 CIVIC CENTER DR",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014308",
            "telephone_number": "909-382-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-975-0412",
            "fax_number": "407-975-0413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "ANNAMARIA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G162055",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301044151",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "44006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.