Individual provider Active NPI

Anneyamma B Mannancheril, M.D.

  • Specialist
  • White Plains, NY
National Provider Identifier
1841297702
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
194203 Issued in NY
Practice address
2 Longview Ave
2ND Floor
White Plains, NY 10601-5000
Phone
(914) 849-7600
Fax
(914) 849-7696
NPI assigned
Jul 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 194203 NY Primary

Addresses

Primary practice location

2 Longview Ave
2ND Floor
White Plains, NY 10601-5000

Mailing address

2 Longview Ave
2ND Floor
White Plains, NY 10601-5000
Phone (914) 849-7600

Other identifiers 1

IdentifierTypeStateIssuer
01703424MedicaidNY

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031231000664 NY Practitioner - Hematology/Oncology 4789583485 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194203NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Winifred Masterson Burke Rehabilitation Hospital Current Accepting new patients
White Plains Hospital Medical Center CurrentSince Jan 1, 2013 Accepting new patients
White Plains Hospital Medical Center Current Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Aug 1, 2020 Accepting new patients
White Plains Physician Services PC CurrentSince Jan 1, 2021 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital CurrentSince Aug 1, 2020 Accepting new patients
Westchester Oncology & Hematology Group, P.C. Past Accepting new patients
White Plains Hospital Medical Center Past Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

2 Longview Ave
Ste 2
White Plains, NY 10601
Phone (914) 684-8100

170 Maple Ave
Ste 201
White Plains, NY 10601
Phone (914) 681-2783

244 Westchester Ave
Ste 411
White Plains, NY 10604
Phone (914) 684-8100

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

12 Greenridge Ave
Ste 401
White Plains, NY 10605
Phone (914) 948-3128

2 Longview Ave
Fl 2
White Plains, NY 10601
Phone (914) 849-7539

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

Networks

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1841297702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LONGVIEW AVE",
            "address_2": "2ND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015000",
            "telephone_number": "914-849-7600",
            "fax_number": "914-849-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LONGVIEW AVE",
            "address_2": "2ND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015000",
            "telephone_number": "914-849-7600",
            "fax_number": "914-849-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNANCHERIL",
        "first_name": "ANNEYAMMA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "194203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01703424",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.