Individual provider Active NPI

Manika Girdhar, D.O.

  • Allergy & Immunology Physician
  • Hinsdale, IL
National Provider Identifier
1003186479
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036136000 Issued in IL
Practice address
105 E 1St St Ste 203
Hinsdale, IL 60521-4247
Phone
(630) 323-5522
Fax
(630) 323-5524
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2012013849 MO
Allergy & Immunology Physician 207K00000X 036136000 IL Primary

Addresses

Primary practice location

105 E 1St St Ste 203
Hinsdale, IL 60521-4247

Mailing address

105 E 1St St Ste 203
Hinsdale, IL 60521-4247
Phone (630) 323-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224001406 IL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1759607401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hinsdale Asthma and Allergy Center SCGroup PAC ID 2466614607, 3 clinicians

Practice addresses (Care Compare)

105 E 1St St
Suite 203
Hinsdale, IL 60521-4247
Phone (630) 323-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2012013849MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hinsdale Asthma & Allergy Center SC Allergy & Immunology CurrentSince Feb 1, 2015 Accepting new patients

Locations

105 E 1st St
Ste 203
Hinsdale, IL 60521
Phone (630) 323-5522

333 W Chestnut St
Ste 203
Hinsdale, IL 60521
Phone (630) 323-5522

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL PPO Downstate
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL HMO C-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25998/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1003186479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 1ST ST STE 203",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214247",
            "telephone_number": "630-323-5522",
            "fax_number": "630-323-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 1ST ST STE 203",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214247",
            "telephone_number": "630-323-5522",
            "fax_number": "630-323-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRDHAR",
        "first_name": "MANIKA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2012013849",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036136000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.