Individual provider Active NPI

Shobha T. Mani, M.D.

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1053306530
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD019336E Issued in PA
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

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000007 PA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8527971076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Northstar Anesthesia of Pennsylvania LLCGroup PAC ID 5092941161, 65 clinicians

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

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology Current Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Mar 14, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Sep 3, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Sep 3, 2025 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.

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

Verify at the official NPI Registry.