Active NPI
Bob A Manam, MD
- Infectious Disease Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036077740
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360377740 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Copley Memorial Hospital
- Northwestern Medicine Kishwaukee Hospital
- Rush University Medical Center
- Valley West Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Valley Medical Associates, LTD. | Infectious Disease | Current | 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
- https://fhir4.healow.com/fhir/r4/AAJCDD
- 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.
-
- Internal Medicine Physician
- Aurora, IL
- NPI 1629000245
Infectious Disease
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- Home Health Agency
- Aurora, IL
- NPI 1154532315
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
- Critical Access Hospital
- Sandwich, IL
- NPI 1184705931
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.