1. Home
  2. Directory
  3. Connecticut
  4. Westport
  5. Pediatrics
  6. NPI Profile

ANNETTE VANNILAM MD
NPI 1275972952
Pediatrics - Pediatric Gastroenterology in Westport, CT

Active since June 17, 2013PECOS Enrolled
97.12/100
CMS Quality Rating
191 POST RD W, WESTPORT, CT 06880(860) 545-9560 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2024, Oct 15, 2020, Apr 26, 2019 (3 updates tracked since 2019).

About Annette Vannilam Md NPPES

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

ANNETTE VANNILAM MD (NPI 1275972952) is an individual pediatric gastroenterology provider in Westport, Connecticut, licensed in Connecticut (75930) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1275972952
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameANNETTE VANNILAMCredential: MD
Location Address191 POST RD WWestport, CT 06880-4625
Mailing Address191 Post Rd WWestport, CT 06880-4625 · (860) 545-9560
Phone(860) 545-9560
Sole ProprietorYes
Enumeration DateJune 17, 2013
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1275972952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in CT · 75930✔ Licensed in TN · MD0000054575
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 4301103398 (MI)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 4301103398 (MI)
191 POST RD W, Westport, CT 06880
Open in Google Maps ↗

Other Names 1

Former Name (1)Annette George

Secondary Practice Location 1

Location 1100 Michigan St NEGrand Rapids, MI 49503-2560 · Phone (616) 391-8810

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annette Vannilam Md 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 06880 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

ELLEN SEJKORA PHD
Psychologist (Clinical)
191 POST RD W
WESTPORT, CT 06880
Western Connecticut Planning Region (860) 545-9560
DR. KRISTI A SACCO PSY.D.
Clinical Neuropsychologist
191 POST RD W
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 767-0366
HTC MANAGEMENT SERVICES CORP
General Practice
191 POST RD W
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 221-2823
MS. CAROLINE LUTZ HOPPER PAC
Physician Assistant
191 POST RD W
WESTPORT, CT 06880
Western Connecticut Planning Region (860) 545-9000
FAMILY HOME HEALTH CARE OF FAIRFIELD COUNTY LLC
Home Health
191 POST RD W
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 856-3201
LAURA GUTMAN PSY.D.
Psychologist (Group Psychotherapy)
191 POST RD W
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 227-0267

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annette Vannilam's NPI number?

The NPI number for Annette Vannilam is 1275972952. It was assigned to this individual provider in the NPPES registry on June 17, 2013. The provider is also known as Annette George.

Where is Annette Vannilam located?

Annette Vannilam practices at 191 Post Rd W, Westport, CT 06880. The listed phone number is (860) 545-9560.

What is Annette Vannilam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Annette Vannilam enrolled in Medicare?

Yes. Annette Vannilam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annette Vannilam was last updated on September 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.