Individual provider Active NPI

Manish Dhawan, MD

  • Hematology & Oncology Physician
  • Minden, LA
National Provider Identifier
1083618912
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
11219R Issued in LA
Practice address
10600 Industrial Dr
Minden, LA 71055-5105
Phone
(318) 239-4860
Fax
(318) 588-8820
NPI assigned
Jun 9, 2005
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 11219R LA Primary

Addresses

Primary practice location

10600 Industrial Dr
Minden, LA 71055-5105

Mailing address

PO Box 4506
Shreveport, LA 71134-0506
Phone (318) 239-4860

Other practice location 1

850 Olive St Ste A
Shreveport, LA 71104-2162
Phone (318) 239-4860

Other practice location 2

4278 University Pkwy Ste 5
Natchitoches, LA 71457-1906
Phone (318) 239-4860

Other practice location 3

3516 North Blvd Ste B
Alexandria, LA 71301-3674
Phone (318) 239-4860

Other identifiers 3

IdentifierTypeStateIssuer
152723603MedicaidTX
160376001MedicaidAR
1670502MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100106000235 LA Practitioner - Hematology/Oncology 8820159197 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

1000 N 5TH St
Leesville, LA 71446-2901
Phone (337) 238-3475

106000 Industrial Dr
Minden, LA 71055-5105
Phone (318) 239-4860

165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone (318) 239-4860

2106 Loop Rd
Suite B
Winnsboro, LA 71295-3343
Phone (318) 239-4860

3516 N Blvd
Suite B
Alexandria, LA 71301-3674
Phone (318) 239-4860

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

850 Olive St
Suite a
Shreveport, LA 71104-2162
Phone (318) 239-4860

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lasalle Parish Hospital Service District #1 CurrentSince Feb 3, 2020 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Apr 5, 2023 Accepting new patients
Springhill Medical Services, Inc. Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Jul 1, 2023 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Nov 3, 2024 Accepting new patients
Capitol City Family Health Center Incorporated Current Accepting new patients
Mary Bird Perkins Cancer Center CurrentSince Apr 1, 2024 Accepting new patients
Hospital Service District No. 1 of Caldwell Parish CurrentSince Oct 15, 2024 Accepting new patients
Springhill Medical Services, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Hospital Service District No. 1 Caldwell Parish CurrentSince Oct 15, 2024 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Aug 20, 2022 Accepting new patients
Lasalle Parish Hospital Service Dist No1 CurrentSince Feb 3, 2020 Accepting new patients
CLHG-Avoyelles LLC Current Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Aug 20, 2022 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Apr 5, 2023 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Nov 3, 2024 Accepting new patients
Franklin Parish Hospital Service Dist 1 Past Accepting new patients
Northwestern Louisiana Cancer Center, L.L.C. PastSince Oct 1, 2008 Accepting new patients
Highland Clinic, a Prof Med Corp Hematology & Oncology PastSince Aug 1, 2019 Accepting new patients
Terrebonne Parish Hospital Service District #1 Internal Medicine Past Accepting new patients
Lasalle Parish Hospital Service District #1 Past Accepting new patients

Locations

3516 North Blvd
Ste B
Alexandria, LA 71301
Phone (318) 794-7880

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

4950 Essen Ln
Ste 300
Baton Rouge, LA 70809
Phone (225) 214-6688

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

10600 Industrial Dr
Minden, LA 71055
Phone (318) 469-8388

4278 University Pkwy
Ste 4
Natchitoches, LA 71457
Phone (318) 663-0881

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

850 Olive St
Ste A
Shreveport, LA 71104
Phone (318) 222-3662

8730 Youree Dr
Ste Ab
Shreveport, LA 71115
Phone (318) 408-1505

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

401 11th St NE
Springhill, LA 71075
Phone (318) 539-1700

4950 Essen Ln
St George, LA 70809
Phone (225) 215-1311

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

2106 Loop Rd
Ste B
Winnsboro, LA 71295
Phone (318) 338-3540

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: madh0634@yourcarecommunity.org
  • Direct secure messaging: manish.dhawan@direct.la-hie.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1083618912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4506",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711340506",
            "telephone_number": "318-239-4860",
            "fax_number": "318-588-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 INDUSTRIAL DR",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710555105",
            "telephone_number": "318-239-4860",
            "fax_number": "318-588-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Olive St Ste A",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711042162",
            "country_code": "US",
            "telephone_number": "318-239-4860",
            "fax_number": "318-588-8820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4278 University Pkwy Ste 5",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714571906",
            "country_code": "US",
            "telephone_number": "318-239-4860",
            "fax_number": "318-588-8820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3516 North Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013674",
            "country_code": "US",
            "telephone_number": "318-239-4860",
            "fax_number": "318-588-8820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "MANISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "11219R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152723603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160376001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1670502",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.