Individual provider Active NPI

Manoj G Massand, MD

  • Neuroradiology Physician
  • Phoenix, AZ
National Provider Identifier
1235182106
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
31215 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4496
Phone
(602) 954-6228
Fax
(602) 957-6142
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L1130 TX
Diagnostic Radiology Physician 2085R0202X 25811 NE
Diagnostic Radiology Physician 2085R0202X 83877 GA
Diagnostic Radiology Physician 2085R0202X 49229 CO
Neuroradiology Physician 2085N0700X 31215 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4496

Mailing address

PO Box 44037
Phoenix, AZ 85064-4037
Phone (602) 954-6228

Other identifiers 11

IdentifierTypeStateIssuer
1235182106MedicaidCA
1235182106MedicaidNV
176590106MedicaidTX
200174100AMedicaidOK
1235182106MedicaidSD
176590102MedicaidTX
176590103MedicaidTX
74634241MedicaidNM
176590101MedicaidTX
176590104MedicaidTX
72750324MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121008000341 OH Practitioner - Diagnostic Radiology 4284678426 Reassigns benefits to 2 organizations
I20240627004059 AZ Practitioner - Diagnostic Radiology 4284678426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Chicago, Pritzker School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Neuro-Imaging LTDGroup PAC ID 2062497761, 8 clinicians

Practice addresses (Care Compare)

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 954-6228

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83877GAMDDiagnostic Radiology Physician
31215AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Oct 15, 2012 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Oct 15, 2012 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Cleveland Clinic Nevada Diagnostic Radiology CurrentSince Aug 11, 2015 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince Apr 20, 2026 Accepting new patients
Baylor University Medical Center Past Accepting new patients
American Health Imaging of Dallas LLC PastSince May 1, 2008 Accepting new patients
Cleveland Clinic Avon Hospital Past Accepting new patients
Willowbend Diagnostic Imaging, PLLC Diagnostic Radiology Past Accepting new patients

Locations

888 W Bonneville Ave
Las Vegas, NV 89106
Phone (702) 263-9797

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

9500 Euclid Ave
#L10
Cleveland, OH 44195
Phone (216) 444-0617

6801 Brecksville Rd
#1110
Independence, OH 44131
Phone (216) 986-1256

6100 W Creek Rd
#35
Independence, OH 44131
Phone (216) 642-8165

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: mmassand227926@direct.ccf.org

Organizations & group practices 11

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 9

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1235182106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44037",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850644037",
            "telephone_number": "602-954-6228",
            "fax_number": "602-957-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134496",
            "telephone_number": "602-954-6228",
            "fax_number": "602-957-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAND",
        "first_name": "MANOJ",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L1130",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "25811",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "83877",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "49229",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AZ",
            "license": "31215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235182106",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235182106",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176590106",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200174100A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235182106",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176590102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176590103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74634241",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176590101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176590104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72750324",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.