Individual provider Active NPI

Manoj Jagtiani, DO

  • Interventional Pain Medicine Physician
  • Hays, KS
National Provider Identifier
1255829362
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
05-50282 Issued in KS
Practice address
2220 Canterbury Dr
Hays, KS 67601-2370
Phone
(785) 623-5096
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 05-50282 KS
Pain Medicine (Anesthesiology) Physician 207LP2900X 05-50282 KS
Interventional Pain Medicine Physician 208VP0014X 05-50282 KS Primary

Addresses

Primary practice location

2220 Canterbury Dr
Hays, KS 67601-2370

Mailing address

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, KS2 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
I20230830000560 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 4789047366 Reassigns benefits to 1 organization
I20241130000003 KS Practitioner - Pain ManagementPractitioner - Anesthesiology 4789047366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Touro Un Col of Osteopathic Medicine, New York, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2500 Canterbury Dr
Suite 206
Hays, KS 67601-2281
Phone (785) 650-2864

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Rooks County Health Center Hospital, Plainville, KS, CCN 171311
  • Phillips County Hospital Hospital, Phillipsburg, KS, CCN 171353
  • Pawnee Valley Community Hospital Hospital, Larned, KS, CCN 171345

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
62.32 of 100Reported as group
Quality
34
Promoting interoperability
77
Improvement activities
40
Cost
59.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-50282KSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Alexander P. Hersel, M.D., Inc Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Hays Medical Center, Inc CurrentSince Dec 1, 2024 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

1120 Newbury Rd
Ste 100
Thousand Oaks, CA 91320
Phone (805) 230-3100

1120 Newbury Rd
Ste 150
Thousand Oaks, CA 91320
Phone (805) 557-0096

2500 Canterbury Dr
Ste 206
Hays, KS 67601
Phone (785) 623-5940

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

Interoperability endpoints

  • Direct secure messaging: manojjagtiani@pmirmc.allscriptsdirect.net

Organizations & group practices 5

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 5

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1255829362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-623-2254",
            "fax_number": "785-623-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-623-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGTIANI",
        "first_name": "MANOJ",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "05-50282",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "05-50282",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KS",
            "license": "05-50282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.