Mithra Maneyapanda, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD459889 Issued in PA

Practice address

414 Paoli Pike
Malvern, PA 19355-3311

Phone

(484) 596-5400

Fax

(484) 413-2603

NPI assigned

Jun 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physical Medicine and Rehabilitation

Education

Rutgers New Jersey Medical School, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabilitation Associates of the Main Line, P.C.Group PAC ID 8325037724, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryn Mawr Rehabilitation Hospital Inpatient rehabilitation facility, Malvern, PA, CCN 393025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mithra.maneyapanda.1@554.direct.athenahealth.com

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.

• Rehabilitation Associates of the Main Line, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Malvern, PA
  • NPI 1538230396
  Medicare reassignment Care Compare group NPD
• Main Line Hospitals, Inc.

  • Rehabilitation Hospital
  • Malvern, PA
  • NPI 1396850368
  NPD (past)
• Medical Associates of the Main Line, PC

  • Hospitalist Physician
  • Malvern, PA
  • NPI 1033276076
  NPD (past)

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

• Main Line Hospitals, Inc.

  • Rehabilitation Hospital
  • Malvern, PA
  • NPI 1396850368

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1104189174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PAOLI PIKE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553311",
            "telephone_number": "484-596-4800",
            "fax_number": "484-413-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PAOLI PIKE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553311",
            "telephone_number": "484-596-5400",
            "fax_number": "484-413-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEYAPANDA",
        "first_name": "MITHRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-24",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD459889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Line PA Endoscopy ASC LP
• Malvern Endoscopy Center LLC
• Malvern Fire Company
• Malvern Institute for Psychiatric and Alcoholic Studies, Inc.
• Sean Benjamin Mandel, D.C.
• Richard Mangano, M.A.
• Wendy S Manko, DO
• Sandra Marinaccio, M.S., OTR/L
• Alicia Markham
• Bradford Alan Markowitz, L.P.C.

• Physical Medicine & Rehabilitation Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.

Verify at the official NPI Registry.