Individual provider Active NPI

Luis E Manyari, MD

  • Internal Medicine Physician
  • Hammond, IN
National Provider Identifier
1144297243
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01057087A Issued in IN
Practice address
5529 Hohman Ave
Hammond, IN 46320-1936
Phone
(219) 853-7100
Fax
(219) 937-5958
NPI assigned
Mar 7, 2006
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01057087A IN Primary

Addresses

Primary practice location

5529 Hohman Ave
Hammond, IN 46320-1936

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other identifiers 1

IdentifierTypeStateIssuer
200414420AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmanyari175910@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20091117000365 IN Practitioner - Internal Medicine 0244378974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

5529 Hohman Ave
Hammond, IN 46320-1936
Phone (219) 853-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057087AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2015 Accepting new patients
Franciscan Medical Specialists Internal Medicine Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1313 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-1196

1040 Sierra Dr
Greenwood, IN 46143
Phone (317) 528-2759

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

5529 Hohman Ave
Hammond, IN 46320
Phone (219) 853-7100

757 45th St
Ste 201
Munster, IN 46321
Phone (219) 922-5550

759 45th St
Munster, IN 46321
Phone (219) 836-0296

761 45th St
Ste 103
Munster, IN 46321
Phone (219) 922-3002

2001 US Highway 41
Schererville, IN 46375
Phone (219) 365-0970

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: lmanyari175910@direct.franciscanalliance.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1144297243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201936",
            "telephone_number": "219-853-7100",
            "fax_number": "219-937-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANYARI",
        "first_name": "LUIS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01057087A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200414420A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmanyari175910@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5529 Hohman Ave",
            "city": "Hammond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463201936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.