Individual provider Active NPI

Manjunath Nathan, M.D

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1225024896
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36116 Issued in AZ
Practice address
2095 W 24TH St
Suite a
Yuma, AZ 85364-6242
Phone
(928) 328-8393
Fax
(928) 344-4166
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36116 AZ Primary

Addresses

Primary practice location

2095 W 24TH St
Suite a
Yuma, AZ 85364-6242

Mailing address

2095 W 24TH St
Suite a
Yuma, AZ 85364-6242
Phone (928) 328-8393

Other names 1

  • Dr. Manjuanth Parathasarathy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070206000073 AZ Practitioner - Internal Medicine 8729089016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2095 W 24TH St
Suite a
Yuma, AZ 85364-6243
Phone (928) 328-8393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.2 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
80.67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Womens Health Center PLLC CurrentSince Oct 1, 2012 Accepting new patients
Arizona Medical Center PLLC Internal Medicine CurrentSince Jan 2, 2007 Accepting new patients
Yuma Physicians Medical Clinic, P.C. Internal Medicine Past Accepting new patients

Locations

2095 W 24th St
Ste A
Yuma, AZ 85364
Phone (928) 328-8393

Interoperability endpoints

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

Organizations & group practices 3

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 4

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1225024896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W 24TH ST",
            "address_2": "SUITE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646242",
            "telephone_number": "928-328-8393",
            "fax_number": "928-344-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W 24TH ST",
            "address_2": "SUITE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646242",
            "telephone_number": "928-328-8393",
            "fax_number": "928-344-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "MANJUNATH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANJUANTH",
            "last_name": "PARATHASARATHY",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.