Active NPI
Sandeep Kumar Annam, M.D.
- Anesthesiology Physician
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 270386
- Practice address
- 1000 Montauk Hwy
West Islip, NY 11795-4927 - Phone
- (631) 736-4064
- Fax
- (631) 736-1332
- NPI assigned
- Apr 9, 2009
- Last updated
- Jul 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 270386 | NY | Primary |
Addresses
Primary practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Mailing address
3 Boyle Rd
Selden, NY 11784-4000
Phone (631) 736-4064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN-270386-6W | Other | NY | WORKERS COMPENSATION |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-4444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270386 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Anesthesiology, PC | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| Long Island Anesthesiologists, PLLC | Anesthesiology | Current | Accepting new patients |
| Good Samaritan Hospital Medical | Current | Accepting new patients |
Locations
818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000
3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245
369 E Main St
Ste 18
East Islip, NY 11730
Phone (631) 277-1600
210 W Park Ave
Long Beach, NY 11561
Phone (516) 431-4800
510 Broadhollow Rd
Ste 100
Melville, NY 11747
Phone (631) 424-3600
680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400
5650 Sunrise Hwy
Sayville, NY 11782
3 Boyle Rd
Selden, NY 11784
Phone (631) 716-6000
300 S Oyster Bay Rd
Syosset, NY 11791
Phone (516) 605-2626
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
160 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 364-4200
246 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 682-8900
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- West Islip, NY
- NPI 1528161171
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- Specialist
- Buffalo, NY
- NPI 1306852181
-
- Critical Care Medicine (Internal Medicine) Physician
- West Islip, NY
- NPI 1548501620
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1760625461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BOYLE RD",
"city": "SELDEN",
"state": "NY",
"postal_code": "117844000",
"telephone_number": "631-736-4064",
"fax_number": "631-736-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MONTAUK HWY",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954927",
"telephone_number": "631-736-4064",
"fax_number": "631-736-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNAM",
"first_name": "SANDEEP",
"middle_name": "KUMAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-09",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "270386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "AN-270386-6W",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.