Annamalai Periakaruppan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1562261 Issued in NY

Practice address

180 Harry L Dr
Johnson City, NY 13790-1566

Phone

(607) 763-1122

Fax

(607) 763-1331

NPI assigned

Apr 18, 2006

Last updated

Nov 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  Medicare reassignment NPD
• Women2Women Obstetrics and Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • Johnson City, NY
  • NPI 1518504281
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1801851324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HARRY L DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901566",
            "telephone_number": "607-763-1122",
            "fax_number": "607-763-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HARRY L DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901566",
            "telephone_number": "607-763-1122",
            "fax_number": "607-763-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIAKARUPPAN",
        "first_name": "ANNAMALAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "1562261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00945708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Patterson, MD
• Gregory Todd Peake, PT
• Pediatric and Adolescent Health
• Theresa Pedroso, PTA
• Abbey C Pelot, LMSW
• Madison Shea Perrault, OTR/L
• Camryn Perri
• Laurie Ann Pescatore, PT
• Pet CT Imaging Center LLC (Accusite)
• Linda Lafontaine Peterson, PRIMARY CARE NP

• Surgery Physician in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.