NPIMap

Individual provider Active NPI

Rajwinder S Manhiani, M.D.

  • Internal Medicine Physician
  • Martinez, GA
National Provider Identifier
1265483952
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2005-01461 Issued in NC
Practice address
4412 Columbia Rd
Suite 106
Martinez, GA 30907-4562
Phone
(706) 210-9990
Fax
(706) 210-0771
NPI assigned
May 15, 2006
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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 2005-01461 NC Primary

Addresses

Primary practice location

4412 Columbia Rd
Suite 106
Martinez, GA 30907-4562

Mailing address

PO Box 2750
Ste 106
Evans, GA 30809-2750
Phone (803) 233-4673

Other identifiers 1

IdentifierTypeStateIssuer
5902440MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060927000312 SC Practitioner - Internal Medicine 4981628815 Reassigns benefits to 1 organization
I20061113000538 GA Practitioner - Internal Medicine 4981628815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Manhiani PLLCGroup PAC ID 0941474217, 2 clinicians

Practice addresses (Care Compare)

1000 Secession CT
Martinez, GA 30907-9171
Phone (706) 210-9990

1355 Independence Dr
Augusta, GA 30901-1037
Phone (706) 724-7749

302 University Pkwy
Aiken, SC 29801-2792
Phone (706) 210-9990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-01461NCMDInternal Medicine Physician
28746SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Manhiani PLLC Internal Medicine CurrentSince Oct 31, 2011 Accepting new patients
Aiken Professional Association, LLC Internal Medicine Past Accepting new patients
Encompass Health Walton Rehabilitation Hospital, LLC Past Accepting new patients

Locations

4412 Columbia Rd
Ste 106
Martinez, GA 30907

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1265483952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2750",
            "address_2": "STE 106",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092750",
            "telephone_number": "803-233-4673",
            "fax_number": "803-233-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 COLUMBIA RD",
            "address_2": "SUITE 106",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074562",
            "telephone_number": "706-210-9990",
            "fax_number": "706-210-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANHIANI",
        "first_name": "RAJWINDER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-01461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902440",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

Verify at the official NPI Registry.