Active NPI
Anila Johnykutty
- Physician Assistant
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007316
- Practice address
- 800 S Washington Ave
Saginaw, MI 48601-2551 - Phone
- (989) 907-8000
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 305826 | LA | |
| Physician Assistant | 363A00000X | PA00576 | MS | |
| Physician Assistant | 363A00000X | 5601007316 | MI | Primary |
Addresses
Primary practice location
800 S Washington Ave
Saginaw, MI 48601-2551
Mailing address
800 S Washington Ave
Saginaw, MI 48601-2551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470
4430 Veterans Memorial Blvd
Metairie, LA 70006-5329
Phone (504) 433-7203
Hospital & facility affiliations
- Ochsner Medical Center Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305826 | LA | MD | Physician Assistant |
| PA00576 | MS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients | |
| Degara, PLLC | Past | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients |
Locations
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203
1514 Jefferson Hwy
New Orleans, LA 70121
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
Interoperability endpoints
- ajohnykutty486058@direct.ochsner.org
Organizations & group practices 12
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1851714075
-
- Emergency Medicine Physician
- Kenner, LA
- NPI 1013986546
-
- Emergency Medicine Physician
- Luling, LA
- NPI 1528446101
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1750870226
-
- Emergency Medicine Physician
- Morgan City, LA
- NPI 1235108499
-
- Emergency Medicine Physician
- La Place, LA
- NPI 1265401509
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- New Orleans, LA
- NPI 1932648714
-
- Emergency Medicine Physician
- Pontiac, MI
- NPI 1457589657
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1801218680
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1861885535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S WASHINGTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486012551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S WASHINGTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486012551",
"telephone_number": "989-907-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNYKUTTY",
"first_name": "ANILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "305826",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MS",
"license": "PA00576",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.