Manju Lakra, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33844 Issued in SC

Practice address

1011 Tiger Blvd
Suite 400
Clemson, SC 29631-2915

Phone

(864) 722-0283

Fax

(864) 722-0261

NPI assigned

Jul 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foothills Community Health CareGroup PAC ID 8628227667, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009
• Anmed Health Hospital, Anderson, SC, CCN 420027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4
• Direct secure messaging: manju.lakra.1@30137.direct.athenahealth.com

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.

• Foothills Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Anderson, SC
  • NPI 1063056661

  SC

  Medicare reassignment Care Compare group NPD
• Foothills Community Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Clemson, SC
  • NPI 1538417951

  SC

  Medicare reassignment Care Compare group NPD
• Foothills Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Easley, SC
  • NPI 1083169213

  SC

  Medicare reassignment Care Compare group NPD
• Foothills Community Health Care, Inc.

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1972369643

  Family Medicine

  NPD
• Foothills Community Health Care, Inc.

  • Clinic/Center
  • Easley, SC
  • NPI 1861168155
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anmed Health

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Seneca, SC
  • NPI 1063968196

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • Clinic/Center
  • Seneca, SC
  • NPI 1407345846

  Hospital

  Care Compare affiliation
• Prisma Health-Upstate

  • Pain Clinic/Center
  • Seneca, SC
  • NPI 1891237632

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1053609644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 TIGER BLVD",
            "address_2": "STE 400",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312915",
            "telephone_number": "864-722-0283",
            "fax_number": "864-722-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 TIGER BLVD",
            "address_2": "SUITE 400",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312915",
            "telephone_number": "864-722-0283",
            "fax_number": "864-722-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKRA",
        "first_name": "MANJU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-16",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "33844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Andreas Konhaeuser-Lopez
• Hilary Koster, NP-C
• Cherrish Megan Kyle, NP
• Austin H Laff, PT, DPT
• Carolyn Hallman Lake, PHARMD
• Amanda Lang, OTR/L
• Brooke Nicole Lankford, LPC, LPCS
• Douglas J Lauber, OTR/L,CHT
• Julie Bergeron Laye, MD
• Ledbetter Therapy Services, LLC

• All providers in Clemson, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.

Verify at the official NPI Registry.