Individual provider Active NPI

Bob A Manam, MD

  • Infectious Disease Physician
  • Aurora, IL
National Provider Identifier
1063443885
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036077740 Issued in IL
Practice address
2020 Ogden Ave
Ste 140
Aurora, IL 60504-5894
Phone
(630) 851-1144
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036077740 IL Primary

Addresses

Primary practice location

2020 Ogden Ave
Ste 140
Aurora, IL 60504-5894

Mailing address

2020 Ogden Ave
Ste 140
Aurora, IL 60504-5894
Phone (630) 851-1144

Other identifiers 1

IdentifierTypeStateIssuer
0360377740MedicaidIL

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
I20050211000571 IL Practitioner - Internal MedicinePractitioner - Infectious Disease 1759282031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Medical Associates, LTD.Group PAC ID 4183525454, 14 clinicians

Practice addresses (Care Compare)

2020 Ogden Ave
Suite 140
Aurora, IL 60504-4236

2020 Ogden Ave
Suite 140
Aurora, IL 60504-6065
Phone (630) 851-1144

Hospital & facility affiliations

  • DMJ Home Health Services, Inc Home health agency, Aurora, IL, CCN 147997
  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Medical Associates, LTD. Infectious Disease CurrentSince Sep 1, 2004 Accepting new patients

Locations

2020 Ogden Ave
Ste 140
Aurora, IL 60504
Phone (630) 851-1144

1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAJCDD
  • Direct secure messaging: bob.manam@fvma.eclinicaldirectplus.com

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1063443885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE",
            "address_2": "STE 140",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045894",
            "telephone_number": "630-851-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE",
            "address_2": "STE 140",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045894",
            "telephone_number": "630-851-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAM",
        "first_name": "BOB",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036077740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360377740",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.