Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073572525 Individual Practitioner Female Practitioner

Dr. Anju Annie Mammen , MD

Pediatrics • Katy, TX

Professional Overview & Biography Verified Profile Summary

Dr. Anju Mammen, MD is a registered healthcare professional specializing in Pediatrics in Katy, TX. Practice services are available at 777 S FRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

777 S Fry Rd
Suite 207

Katy, TX 774502244

Telephone 2814927676
Fax 2814928133
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Katy, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Katy, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX M7397

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
282923603 (TX)
Medicaid State Provider ID
004236164 (CT)
Commercial Insurance / Payer ID Bcs
010042497CT01 (CT)
Commercial Insurance / Payer ID Ctc
042497 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1093093833

Doctor of Medicine (M.D.)

Kristin Fullen

Nurse Practitioner - Pediatrics

NPI 1134531122
NPI 1205193919
NPI 1225149404

Doctor of Medicine (M.D.)

NPI 1639245905

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2015

Registered at 777 S FRY RD, SUITE 207, KATY, TX 774502244 (Tel: 2814927676)

📍
Updated Business Mailing Address July 27, 2015

Registered at 777 S FRY RD, SUITE 207, KATY, TX 774502244 (Tel: 2814927676)

👤
Provider Name / Credentials Updated July 27, 2015

Recorded as ANJU MAMMEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Pediatrics (License #M7397 in TX)

🟢
Initial NPI Registration & Enumeration March 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073572525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2006
Last Update: July 27, 2015
Sole Proprietor: No

Mailing Address

777 S Fry Rd, Suite 207

Katy, TX 774502244

Phone: 2814927676

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.