Individual provider Active NPI

Jason Jose Manakat, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1104547173
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9210 Issued in AZ
Practice address
2802 E District St
Tucson, AZ 85714-2081
Phone
(520) 301-2400
NPI assigned
Sep 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Physician Assistant 363A00000X 085.009077 IL
Physician Assistant 363A00000X 9210 AZ
Medical Physician Assistant 363AM0700X 9210 AZ Primary

Addresses

Primary practice location

2802 E District St
Tucson, AZ 85714-2081

Mailing address

12859 E Pantano View Dr
Vail, AZ 85641-0019
Phone (404) 490-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816002356 AZ Practitioner - Physician Assistant 0143682583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rush Medical College of Rush University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Southernaz, LLCGroup PAC ID 2769874197, 25 clinicians

Practice addresses (Care Compare)

2802 E District St
FL 2
Tucson, AZ 85714-2081
Phone (520) 301-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9210AZMDPhysical Therapist
085.009077ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Southernaz, LLC CurrentSince Jul 11, 2023 Accepting new patients

Locations

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

2802 E District St
Ste 2
Tucson, AZ 85714

2802 E District St
Tucson, AZ 85714
Phone (520) 622-6000

2802 E District St
Fl 2
Tucson, AZ 85714
Phone (602) 253-5100

Interoperability endpoints

  • Direct secure messaging: jason.manakat@mmconnections.contexture.medalliesmail.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1104547173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12859 E PANTANO VIEW DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856410019",
            "telephone_number": "404-490-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 E DISTRICT ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142081",
            "telephone_number": "520-301-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAKAT",
        "first_name": "JASON",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009077",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9210",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.