ANWULI ALEXANDRA ANYAH (D.O.) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1407238835

ANWULI ALEXANDRA ANYAH (D.O.) is a healthcare provider. based in Modesto, California. specializing in OTOLARYNGOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101021846 (MI). The NPI Number for ANWULI ALEXANDRA ANYAH (D.O.) is 1407238835

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ANWULI ALEXANDRA ANYAH (D.O.)
NPI
1407238835
Phone
(209) 550-4770
Address
600 COFFEE RD
Enumeration Date
22 June 2015
Last Update Date
22 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
1557678406
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20200724001365
Address ID
CA958165616SA2800XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,359 OTOLARYNGOLOGY in CA

Provider Addresses for ANWULI ALEXANDRA ANYAH (D.O.)

  • 600 COFFEE RD

    MODESTO, CA 953554201

    Phone: (209) 550-4770

    Type: Location

  • PO BOX 255228

    SACRAMENTO, CA 958655228

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($93).

Total Amount

$93

General + Research + Ownership

Payments

4

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200724001365IOtolaryngologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes383253$0
69210Removal of impacted ear wax325252$0
99204New patient office or other outpatient visit, 45-59 minutes193193$0
99215Established patient office or other outpatient visit, 40-54 minutes158124$0
99205New patient office or other outpatient visit, 60-74 minutes9595$0
View full utilization report →

Insurance plans in this area (ZIP 95355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
-CA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

Is ANWULI ALEXANDRA ANYAH (D.O.) listed with a National Provider Identifier?
Yes — ANWULI ALEXANDRA ANYAH (D.O.) has NPI 1407238835 on file in the registry.
Is ANWULI ALEXANDRA ANYAH (D.O.) still an active registrant?
ANWULI ALEXANDRA ANYAH (D.O.) carries an active NPI according to the public dataset.
What area of care is associated with ANWULI ALEXANDRA ANYAH (D.O.)?
ANWULI ALEXANDRA ANYAH (D.O.)'s record emphasizes Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is ANWULI ALEXANDRA ANYAH (D.O.) located near Modesto?
ANWULI ALEXANDRA ANYAH (D.O.) currently maps to Modesto, California in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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