Active NPI
Noel Manyindo, M.D., MBA
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1205064201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 193200000X
- Practice address
- 2139 Georgia Ave NW
Suite 3-B
Washington, DC 20001-3035 - Phone
- (202) 865-3250
- NPI assigned
- Jun 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 193200000X | DC | Primary |
Addresses
Primary practice location
2139 Georgia Ave NW
Suite 3-B
Washington, DC 20001-3035
Mailing address
2139 Georgia Ave NW
Suite 3-B
Washington, DC 20001-3035
Phone (202) 865-3250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193200000X | DC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1205064201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 GEORGIA AVE NW",
"address_2": "SUITE 3-B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013035",
"telephone_number": "202-865-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 GEORGIA AVE NW",
"address_2": "SUITE 3-B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013035",
"telephone_number": "202-865-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANYINDO",
"first_name": "NOEL",
"credential": "M.D., MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "193200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.