NPIMap

Individual provider Active NPI

Manjit Singh Gulati, MD

  • Nephrology Physician
  • Davie, FL
National Provider Identifier
1164433256
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME 75667 Issued in FL
Practice address
3105 N University Dr
Davie, FL 33024-2234
Phone
(954) 438-6080
Fax
(954) 499-5599
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME 75667 FL Primary

Addresses

Primary practice location

3105 N University Dr
Davie, FL 33024-2234

Mailing address

10726 Charleston PL
Hollywood, FL 33026-4906
Phone (954) 438-6080

Other identifiers 1

IdentifierTypeStateIssuer
254728700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071205000273 FL Practitioner - NephrologyPractitioner - Internal Medicine 6002905627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3105 N University Dr
Manjit Gulati M.D.
Davie, FL 33024-4906
Phone (954) 438-6080

Hospital & facility affiliations

  • Johnson Dialysis Center LLC Dialysis facility, Pembroke Pines, FL, CCN 102868
  • A Unique Kidney Center LLC Dialysis facility, Davie, FL, CCN 682504
  • Apollo Renal Center LLC Dialysis facility, Miami, FL, CCN 682507
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 75667FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Unique Kidney Center LLC Nephrology CurrentSince Apr 8, 2011 Accepting new patients
Health Plus Urgent Care, PA CurrentSince Apr 11, 2018 Accepting new patients
Grand Dialysis Services LLC Current Accepting new patients
Nes Georgia, Inc. Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Hospital Authority of Jeff Davis County Georgia Past Accepting new patients
Johnson Dialysis Center of Davie Florida LLC PastSince Jan 11, 2011 Accepting new patients

Locations

3105 N University Dr
Ste 103
Hollywood, FL 33024
Phone (954) 362-7087

3105 N University Dr
Ste 101
Hollywood, FL 33024
Phone (954) 438-6080

3105 N University Dr
Hollywood, FL 33024
Phone (954) 438-6080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEFBCA/Endpoint/GEFBCA

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1164433256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10726 CHARLESTON PL",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264906",
            "telephone_number": "954-438-6080",
            "fax_number": "954-499-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "330242234",
            "telephone_number": "954-438-6080",
            "fax_number": "954-499-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULATI",
        "first_name": "MANJIT",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 75667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254728700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.