Individual provider Active NPI

Manisha Thakore-James, M.D.

  • Neurology Physician
  • Boston, MA
National Provider Identifier
1184635633
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
81184 Issued in MA
Practice address
150 South Huntington Avenue
Boston VA Medical Center
Boston, MA 01230
Phone
(617) 232-9500
Fax
(857) 364-4454
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 81184 MA Primary

Addresses

Primary practice location

150 South Huntington Avenue
Boston VA Medical Center
Boston, MA 01230

Mailing address

150 S Huntington Ave
Neurology (127)
Boston, MA 02130-4817
Phone (617) 232-9500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130610000369 MA Order and Referring Only - NeurologyPractitioner - Neurology 0749429462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81184MAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1184635633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE",
            "address_2": "NEUROLOGY (127)",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304817",
            "telephone_number": "617-232-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTH HUNTINGTON AVENUE",
            "address_2": "BOSTON VA MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "617-232-9500",
            "fax_number": "857-364-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKORE-JAMES",
        "first_name": "MANISHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "81184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.