Maneesha Nandimandalam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

331994 Issued in NY

Practice address

40 Catherwood Rd
Ithaca, NY 14850-1056

Phone

(607) 274-4011

NPI assigned

Apr 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• VNS Ithaca Tompkins Co Chha Home health agency, Ithaca, NY, CCN 337212
• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnandimandalam27388@direct.xtensys.com

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.

• Cayuga Medical Associates, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1679525455
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation
• Visiting Nurse Service of Ithaca and Tompkins County Inc

  • Home Health Agency
  • Ithaca, NY
  • NPI 1447257928
  Care Compare affiliation

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1154901080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 TRUMANSBURG RD STE P",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501397",
            "telephone_number": "469-478-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CATHERWOOD RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501056",
            "telephone_number": "607-274-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDIMANDALAM",
        "first_name": "MANEESHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "331994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laiba Nadeem, M.D.
• Dhruti Naik, M.D.
• Amy Nakaranuruck
• Lezlie Namaste, LCSW-R
• Nancy J Peckenpaugh Nutrition PLLC
• Munu Napit, MD
• Mary Elizabeth Narcisse, LPN
• National Vision Inc
• Natural Health Family Chiropractic
• Natures Apothecary LLC

• Internal Medicine Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.

Verify at the official NPI Registry.