Active NPI
Manoj Kumar Nepal, M.D.
- Pediatrics Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 85689
- Practice address
- 14 Richland Medical Park Dr Ste 400
Columbia, SC 29203-6878 - Phone
- (803) 434-7945
- Fax
- (803) 434-3855
- NPI assigned
- Jan 18, 2012
- Last updated
- Sep 13, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P8705 | TX | |
| Pediatrics Physician | 208000000X | 85689 | SC | Primary |
Addresses
Primary practice location
14 Richland Medical Park Dr Ste 400
Columbia, SC 29203-6878
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other practice location 1
333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone (210) 704-2608
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856899 | Medicaid | SC | |
| MD446172 | Other | PA | PA LICENSE |
| 932038 | Other | NY | SUNY DOWNSTATE MEDICAL CENTER |
| P8705 | Other | TX | TEXAS MEDICAL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85689 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Pediatrics | Current | Accepting new patients |
| Texas Children's Physician Group | Pediatrics | Current | Accepting new patients |
| Texas Children's Hospital | Past | Accepting new patients |
Locations
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
1102 Bates Ave
#1450
Houston, TX 77030
315 N San Saba
Ste 1003
San Antonio, TX 78207
Phone (210) 261-3100
315 N San Saba
Ste 1210
San Antonio, TX 78207
Phone (210) 354-0877
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BCM Physicians of San Antonio
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
dba Texas Children's Hospital North Austin Campus
- Children's Hospital
- Austin, TX
- NPI 1194507947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1063783454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR STE 400",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036878",
"telephone_number": "803-434-7945",
"fax_number": "803-434-3855"
}
],
"practiceLocations": [
{
"address_1": "333 N Santa Rosa St",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073108",
"country_code": "US",
"telephone_number": "210-704-2608",
"fax_number": "210-704-4520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEPAL",
"first_name": "MANOJ",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-18",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P8705",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "85689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "856899",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "MD446172",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUNY DOWNSTATE MEDICAL CENTER",
"identifier": "932038",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE NUMBER",
"identifier": "P8705",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.