ANNIE JOLEEN KAYANICKUPURAM D.O.
NPI 1174888374
Pediatrics in Houston, TX

Q: What is Annie Kayanickupuram's NPI number?

The NPI number for Annie Kayanickupuram is 1174888374. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Q: What is Annie Kayanickupuram's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 12, 2012PECOS Enrolled

7600 FANNIN ST, HOUSTON, TX 77054(713) 791-7180 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Annie Joleen Kayanickupuram D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNIE JOLEEN KAYANICKUPURAM D.O. (NPI 1174888374) is an individual pediatrics provider in Houston, Texas, licensed in Texas (Q1842) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174888374

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameANNIE JOLEEN KAYANICKUPURAMCredential: D.O.

Location Address7600 FANNIN STHouston, TX 77054-1906

Mailing Address7600 Fannin StHouston, TX 77054-1906 · (713) 791-7180

Phone(713) 791-7180

Sole ProprietorNo

Enumeration DateJuly 12, 2012

Last NPPES UpdateMarch 29, 2019

✔ NPI 1174888374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · Q1842

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7600 FANNIN ST, Houston, TX 77054

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annie Joleen Kayanickupuram D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHERILYN KELLY APRN

Nurse Practitioner (Neonatal, Critical Care)