Individual provider Active NPI

Lakshmi Pavan Manchineni, M.D

  • Hospitalist Physician
  • Worcester, MA
National Provider Identifier
1104123017
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C144266 Issued in CA
Practice address
119 Belmont St
Hospital Medicine
Worcester, MA 01605-2903
Phone
(508) 334-8515
Fax
(508) 334-6490
NPI assigned
Feb 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 247038 MA
Hospitalist Physician 208M00000X C144266 CA Primary

Addresses

Primary practice location

119 Belmont St
Hospital Medicine
Worcester, MA 01605-2903

Mailing address

1350 N Capitol Ave Unit 2
San Jose, CA 95132-2521
Phone (914) 414-6159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110817000747 MA Practitioner - Internal Medicine 4789853219 Reassigns benefits to 1 organization
I20161213001957 CA Practitioner - HospitalistPractitioner - Internal Medicine 4789853219 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C144266CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC Internal Medicine CurrentSince Jun 9, 2019 Accepting new patients
Vituity Hospitalists PC Internal Medicine Current Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Aug 16, 2020 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 5, 2011 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jul 5, 2011 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Oct 23, 2019 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Jun 9, 2019 Accepting new patients
Merced Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Feb 6, 2018 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Nov 6, 2016 Accepting new patients
Northbay Healthcare Group Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine Past Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
Cep America - California Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
S Pannu Inc Internal Medicine Past Accepting new patients

Locations (25 of 35)

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

15891 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone (408) 358-5633

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

660 4th St
San Francisco, CA 94107
Phone (415) 349-0850

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 3

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": "1297555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1104123017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N CAPITOL AVE UNIT 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322521",
            "telephone_number": "914-414-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BELMONT ST",
            "address_2": "HOSPITAL MEDICINE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052903",
            "telephone_number": "508-334-8515",
            "fax_number": "508-334-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHINENI",
        "first_name": "LAKSHMI PAVAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-13",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "247038",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C144266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.