ANNAMMA OUSEPH
NPI 1336806629
Physician Assistant in Bronx, NY

Active since November 21, 2021PECOS Enrolled
100/100
CMS Quality Rating
111 E 210TH ST, BRONX, NY 10467(718) 920-4176 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 20, 2021, Nov 21, 2021 (2 updates tracked since 2021).

About Annamma Ouseph NPPES

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

ANNAMMA OUSEPH (NPI 1336806629) is an individual physician assistant in Bronx, New York and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Mercy College (2021).

NPPES Registry Identity

NPI1336806629
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNAMMA OUSEPH
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address3 N Delaware DrNyack, NY 10960-2309 · (914) 309-1294
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2021
Enumeration DateNovember 21, 2021
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
NPI 1336806629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 E 210TH ST, Bronx, NY 10467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Annamma Ouseph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406235548
PECOS Enrollment IDI20220621002605
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467

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 Annamma Ouseph's NPI number?

The NPI number for Annamma Ouseph is 1336806629. It was assigned to this individual provider in the NPPES registry on November 21, 2021.

Where is Annamma Ouseph located?

Annamma Ouseph practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4176.

What is Annamma Ouseph's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Annamma Ouseph enrolled in Medicare?

Yes. Annamma Ouseph is registered in the Medicare PECOS enrollment system.

Is Annamma Ouseph affiliated with any hospitals?

According to CMS data, Annamma Ouseph is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Annamma Ouseph was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.