Individual provider Active NPI

Michael H Annabi, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1962484378
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6800 Issued in TX
Practice address
4930 Osborne
BLDG a
El Paso, TX 79922-1041
Phone
(915) 587-9455
Fax
(915) 587-9410
NPI assigned
Nov 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K6800 TX Primary

Addresses

Primary practice location

4930 Osborne
BLDG a
El Paso, TX 79922-1041

Mailing address

4930 Osborne Dr
El Paso, TX 79922-1041
Phone (915) 587-9455

Other identifiers 1

IdentifierTypeStateIssuer
030826402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050926000897 TX Practitioner - Internal Medicine 1456385731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael H Annabi MD PAGroup PAC ID 4183658461, 3 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

4930 Osborne Dr
Suite a
El Paso, TX 79922-1043
Phone (915) 587-9455

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

  • Tender Care Home Health Home health agency, El Paso, TX, CCN 679522
  • Alto Mar New Mexico LLC Home health agency, Santa Teresa, NM, CCN 327192
  • Enhabit Home Health Home health agency, El Paso, TX, CCN 458314
  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael H Annabi Mdpa Internal Medicine CurrentSince Jun 17, 2005 Accepting new patients
Dr. Michael H. Annabi Internal Medicine Current Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

4930 Osborne Dr
El Paso, TX 79922
Phone (915) 225-0003

4930 Osborne Dr
Ste A
El Paso, TX 79922
Phone (915) 587-9455

615 E Schuster Ave
Ste 7
El Paso, TX 79902
Phone (915) 544-6657

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Bartlett Skilled Nursing and Assisted LivingEl Paso, TX, CCN 676457 Skilled nursing facility Adp of the SNF Jan 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1962484378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 OSBORNE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221041",
            "telephone_number": "915-587-9455",
            "fax_number": "915-587-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 OSBORNE",
            "address_2": "BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221041",
            "telephone_number": "915-587-9455",
            "fax_number": "915-587-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNABI",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030826402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.