Physician Compare National (NPI:1124010616)

HEALTHCARE PROVIDER: AMIT ANNAMANENI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124010616
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426016031
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110412001046
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ANNAMANENI
	Individual professional last name
Provider First Name	AMIT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	845 CYPRESS CREEK PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	HOUSTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	770903943
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450638
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOUSTON NORTHWEST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450184
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450862
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST LUKE'S THE WOODLANDS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	670122
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	HOUSTON METHODIST THE WOODLANDS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y