Individual provider Active NPI

Annamalai Veerappan, M.D.

  • Gastroenterology Physician
  • Fremont, CA
National Provider Identifier
1881628451
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A49347 Issued in CA
Practice address
2557 Mowry Ave
Suite 12
Fremont, CA 94538-1603
Phone
(510) 793-3722
Fax
(510) 793-8783
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A49347 CA Primary

Addresses

Primary practice location

2557 Mowry Ave
Suite 12
Fremont, CA 94538-1603

Mailing address

2557 Mowry Ave
Suite 12
Fremont, CA 94538-1603
Phone (510) 793-3722

Other identifiers 1

IdentifierTypeStateIssuer
00A493470MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080506000387 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5294717062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2557 Mowry Ave
Fremont, CA 94538-1614

39500 Fremont Blvd
Suite 100
Fremont, CA 94538-2101
Phone (510) 687-9510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy188
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49347CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation CurrentSince May 1, 2008 Accepting new patients
Washington Township Medical Foundation Gastroenterology CurrentSince May 1, 2008 Accepting new patients

Locations

2557 Mowry Ave
Ste 12
Fremont, CA 94538
Phone (510) 248-1550

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

2557 Mowry Ave
Ste 10
Fremont, CA 94538
Phone (510) 248-1843

Interoperability endpoints

  • Direct secure messaging: aveerappan7040@direct.whhs.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1881628451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE",
            "address_2": "SUITE 12",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381603",
            "telephone_number": "510-793-3722",
            "fax_number": "510-793-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE",
            "address_2": "SUITE 12",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381603",
            "telephone_number": "510-793-3722",
            "fax_number": "510-793-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERAPPAN",
        "first_name": "ANNAMALAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A49347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A493470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.