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MS. BHAVANA JYOTI ANNAM M.D.
NPI 1598349953
Student in an Organized Health Care Education/Training Program in San Bernardino, CA

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment
2101 N WATERMAN AVENUE, SAN BERNARDINO, CA 92404(909) 475-2612(909) 475-5059 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, Dec 14, 2022, May 11, 2021 (3 updates tracked since 2021).

About Ms. Bhavana Jyoti Annam M.d. NPPES

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

MS. BHAVANA JYOTI ANNAM M.D. (NPI 1598349953) is an individual student in an organized health care education/training program in San Bernardino, California and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1598349953
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. BHAVANA JYOTI ANNAMCredential: M.D.
Location Address2101 N WATERMAN AVENUESan Bernardino, CA 92404
Mailing Address2101 N Waterman AvenueSan Bernardino, CA 92404 · (909) 475-2612 · Fax (909) 475-5059
Phone(909) 475-2612
Fax(909) 475-5059
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 11, 2021
Last NPPES UpdateDecember 14, 20223 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1598349953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2101 N WATERMAN AVENUE, San Bernardino, CA 92404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Bhavana Jyoti Annam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749725026
PECOS Enrollment IDI20240710004843
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
109 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
83 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
49 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

MICHELLE SANTELLA M.D.
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVENUE
SAN BERNARDINO, CA 92404
San Bernardino County (951) 827-6085

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 Bhavana Jyoti Annam's NPI number?

The NPI number for Bhavana Jyoti Annam is 1598349953. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Bhavana Jyoti Annam located?

Bhavana Jyoti Annam practices at 2101 N Waterman Avenue, San Bernardino, CA 92404. The listed phone number is (909) 475-2612.

What is Bhavana Jyoti Annam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bhavana Jyoti Annam enrolled in Medicare?

Yes. Bhavana Jyoti Annam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Bhavana Jyoti Annam affiliated with any hospitals?

According to CMS data, Bhavana Jyoti Annam is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Bhavana Jyoti Annam was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.