Active NPI
Obli Chetty Maragatha Mani, MD
- Family Medicine Physician
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 234649
- Practice address
- 1250 Hancock St
Internal Medicine
Quincy, MA 02169-4339 - Phone
- (617) 774-0840
- Fax
- (617) 774-0882
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A89147 | CA | |
| Family Medicine Physician | 207Q00000X | 234649 | MA | Primary |
Addresses
Primary practice location
1250 Hancock St
Internal Medicine
Quincy, MA 02169-4339
Mailing address
1250 Hancock St
Internal Medicine
Quincy, MA 02169-4339
Phone (617) 774-0840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A891470 | Medicaid | CA | |
| 2161117 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | omanimd20692@direct.atrius.masshiway.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081105000594 | MA | Practitioner - Internal Medicine | 9234184870 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
147 Milk St
Boston, MA 02109-4806
147 Milk St
Boston, MA 02109-4862
Hospital & facility affiliations
- South Shore Visiting Nurse Association
- South Shore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Past | Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
1250 Hancock St
Quincy, MA 02169
Phone (617) 774-0600
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1114265634
-
- Internal Medicine Physician
- Norwood, MA
- NPI 1467847632
-
- Internal Medicine Physician
- Boston, MA
- NPI 1871639914
-
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Braintree, MA
- NPI 1669558474
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1174584908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 HANCOCK ST",
"address_2": "INTERNAL MEDICINE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694339",
"telephone_number": "617-774-0840",
"fax_number": "617-774-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 HANCOCK ST",
"address_2": "INTERNAL MEDICINE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694339",
"telephone_number": "617-774-0840",
"fax_number": "617-774-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANI",
"first_name": "OBLI",
"middle_name": "CHETTY MARAGATHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A89147",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "234649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A891470",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2161117",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "omanimd20692@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "1250 Hancock St",
"address_2": "Internal Medicine",
"city": "Quincy",
"state": "MA",
"country_code": "US",
"postal_code": "021694339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.