Annu Benny, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP128507 Issued in TX

Practice address

4409 Willett LN
Garland, TX 75043-2691

Phone

(972) 202-1106

NPI assigned

Nov 11, 2015

Last updated

Apr 1, 2016By the provider in NPPES

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 names 1

• Mrs. Annamma Thomas Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shalini Katikaneni MD PAGroup PAC ID 3678617396, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Shalini Katikaneni MD PA

  • Specialist
  • Plano, TX
  • NPI 1225367659
  Medicare reassignment Care Compare group NPD
• Inpatient Physician Associates PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1285696898
  Medicare reassignment NPD
• Transitional and Chronic Care PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Mesquite, TX
  • NPI 1356935373
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1720451826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 GUS THOMASSON RD",
            "address_2": "STE B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502226",
            "telephone_number": "972-202-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 WILLETT LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432691",
            "telephone_number": "972-202-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNY",
        "first_name": "ANNU",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNAMMA",
            "last_name": "THOMAS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Ethan Bendiksen
• Benedict E Homer DDS Inc
• David Benesh
• Brian Benitez
• Kathleen A Bennett
• Dona R Benz, MS LPCS DAPA CCFC
• Beriter Healthcare, LLC
• Neba Suh Bernard
• Berry Family Dentistry
• James W Berry, D.D.S.

• Family Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.