Individual provider Active NPI

Manmohan Nayyar, MD

  • Neurology Physician
  • Apple Valley, CA
National Provider Identifier
1124086855
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A42225 Issued in CA
Practice address
18523 Corwin Rd Ste a
Apple Valley, CA 92307-2300
Phone
(760) 946-3876
Fax
(760) 242-1936
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A42225 CA Primary

Addresses

Primary practice location

18523 Corwin Rd Ste a
Apple Valley, CA 92307-2300

Mailing address

18523 Corwin Rd
Apple Valley, CA 92307-2300
Phone (760) 946-3876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100928000225 CA Practitioner - Neurology 1557361524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.94 of 100Reported as group
Quality
71.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42225CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Neuro-Diagnostic Medical Group, Inc. CurrentSince Jun 21, 2010 Accepting new patients
Choice Physicians Network, Inc. Current Accepting new patients
Choice Healthcare Associates, Inc. PastSince Feb 8, 2011 Accepting new patients

Locations

18523 Corwin Rd
Ste A
Apple Valley, CA 92307
Phone (760) 946-3876

18523 Corwin Rd
Apple Valley, CA 92307
Phone (909) 712-2764

18660 US Highway 18
Apple Valley, CA 92307
Phone (760) 515-1911

555 S 7th Ave
Barstow, CA 92311
Phone (760) 256-1761

Interoperability endpoints

  • Direct secure messaging: manmohannayyar@highdesert.allscriptsdirect.net

Organizations & group practices 3

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1124086855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072300",
            "telephone_number": "760-946-3876",
            "fax_number": "760-242-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072300",
            "telephone_number": "760-946-3876",
            "fax_number": "760-242-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYYAR",
        "first_name": "MANMOHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A42225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.