Active NPI
Manohar Kuruva, M.D.
- Diagnostic Radiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME149129
- Practice address
- 1364 Clifton Rd NE
Atlanta, GA 30322 - Phone
- (404) 778-4747
- Fax
- (404) 686-5709
- NPI assigned
- Jul 14, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 82954 | GA | |
| Neuroradiology Physician | 2085N0700X | 82954 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | AR | ||
| Diagnostic Radiology Physician | 2085R0202X | ME149129 | FL | Primary |
Addresses
Primary practice location
1364 Clifton Rd NE
Atlanta, GA 30322
Mailing address
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-4747
Other practice location 1
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-4747
Other practice location 2
4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 765-7602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, KY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Tortola Way
St Johns, FL 32259-1136
Phone (501) 765-7602
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
- Cleveland Clinic Indian River Hospital
- Akron General Medical Center
- Cleveland Clinic Hospital
- Cleveland Clinic
- Hillcrest Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME149129 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wooster Clinic, LLC | Current | Accepting new patients | |
| Clinic Medical Services Company | Diagnostic Radiology | Current | Accepting new patients |
| The Emory Clinic Inc | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Imaging at Lake Mary, LLC | Neuroradiology | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Florida Radiology Imaging at Lake Mary LLC | Neuroradiology | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Neuroradiology | Current | Accepting new patients |
| Clinic Medical Services Company LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
Interoperability endpoints
- mkuruva58259@adventhealth.direct-ci.com
Organizations & group practices 10
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
- Atlanta, GA
- NPI 1063452381
-
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
Neuroradiology
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
Neuroradiology
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1508024209
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1942389747
Neuroradiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Weston, FL
- NPI 1083644033
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1104267525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-778-4747",
"fax_number": "404-686-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30322",
"telephone_number": "404-778-4747",
"fax_number": "404-686-5709"
}
],
"practiceLocations": [
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30322",
"country_code": "US",
"telephone_number": "404-778-4747",
"fax_number": "404-686-5709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-765-7602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURUVA",
"first_name": "MANOHAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-14",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "GA",
"license": "82954",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "GA",
"license": "82954",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME149129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.