NPIMap

Individual provider Active NPI

Manoj Jagani

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1144717109
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
320593 Issued in NY
Practice address
500 S University Ave Ste 101
Little Rock, AR 72205-5314
Phone
(501) 664-3914
Fax
(501) 664-0302
NPI assigned
Apr 16, 2018
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME163673 FL
Diagnostic Radiology Physician 2085R0202X 320593 NY Primary
Diagnostic Radiology Physician 2085R0202X E-17379 AR

Addresses

Primary practice location

500 S University Ave Ste 101
Little Rock, AR 72205-5314

Mailing address

500 S University Ave Ste 101
Little Rock, AR 72205-5314
Phone (501) 664-3914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101002053 NY Practitioner - Diagnostic Radiology 8325399280 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mayo Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11211
Phone (501) 664-3914

212 N 4TH St
Apt 5a
Brooklyn, NY 11211-3907
Phone (501) 552-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29444MNMDClinical Social Worker
E-17379ARMDDiagnostic Radiology Physician
ME163673FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Sep 18, 2023 Accepting new patients
St. Vincent Medical Group Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Sep 9, 2024 Accepting new patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Nov 2, 2025 Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients
Empire State Radiology P C Diagnostic Radiology Past Accepting new patients
Tower Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

14499 N Dale Mabry Hwy
Ste 150
Tampa, FL 33618
Phone (813) 968-6998

Organizations & group practices 7

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 11

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1144717109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055314",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055314",
            "telephone_number": "501-664-3914",
            "fax_number": "501-664-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGANI",
        "first_name": "MANOJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME163673",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "320593",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-17379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.