Active NPI
Shobha T. Mani, M.D.
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD019336E
- Practice address
- 501 South 54TH Street
Philadelphia, PA 19143 - Phone
- (215) 748-9141
- Fax
- (610) 789-9937
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD019336E | PA | Primary |
Addresses
Primary practice location
501 South 54TH Street
Philadelphia, PA 19143
Mailing address
2655 Northwinds Parkway
Alpharetta, GA 30009
Phone (770) 643-5619
Other names 1
- Shobha Susan Varghese
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000
1500 Lansdowne Ave
Darby, PA 19023-1291
Phone (610) 237-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Pennsylvania, LLC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
1403 Rhawn St
Philadelphia, PA 19111
Phone (215) 332-8100
501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1275423410
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1710877949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1053306530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 NORTHWINDS PARKWAY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30009",
"telephone_number": "770-643-5619",
"fax_number": "678-352-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SOUTH 54TH STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19143",
"telephone_number": "215-748-9141",
"fax_number": "610-789-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANI",
"first_name": "SHOBHA",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD019336E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHOBHA",
"last_name": "VARGHESE",
"middle_name": "SUSAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.