DR. EDWIN LARYEA ANNAN (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1528245040
Critical Care Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
466 PULMONARY DISEASE in IN
Provider Addresses for DR. EDWIN LARYEA ANNAN (MD)
500 ARCADE AVE STE 210
ELKHART, IN 465142485
Phone: (574) 389-5656
Fax: (574) 523-7891
Type: Location
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Fax: (574) 237-6069
Type: Mailing
500, Arcade Avenue, Elkhart, Elkhart County, Indiana, 46514, United States
SUITE 210
ELKHART, IN 465142477
Phone: (574) 389-5656
Fax: (574) 523-7891
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Ethicon Inc. ($120).
Total Amount
$163
General + Research + Ownership
Payments
3
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon Inc. | $120 |
| ABBVIE INC. | $29 |
| Takeda Pharmaceuticals U.S.A., Inc. | $13 |
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: 2013-03-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130309000055 | I | Pulmonary Disease | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 249 | 102 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 114 | 64 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 92 | 90 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 90 | 88 | $0 |
| 94726 | Test to determine lung volumes using sensors | 80 | 78 | $0 |
Insurance plans in this area (ZIP 46514)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | IN | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN |
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