Individual provider Active NPI

Giri Babu Mannepuli, MD

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1265500698
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD062948L Issued in PA
Practice address
3535 N 5TH Street Hwy
Reading Convenient Care
Reading, PA 19605
Phone
(610) 939-1532
Fax
(610) 939-1535
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD062948L PA Primary

Addresses

Primary practice location

3535 N 5TH Street Hwy
Reading Convenient Care
Reading, PA 19605

Mailing address

3535 N 5TH Street Hwy
Reading Convenient Care
Reading, PA 19605
Phone (610) 939-1532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101029000197 PA Practitioner - Family Practice 1658565163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3535 N 5TH St Hwy
Reading, PA 19605-1703
Phone (610) 939-1532

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD062948LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Convenient Care Inc Family Medicine CurrentSince Jan 17, 2000 Accepting new patients

Locations

3535 N 5th Street Hwy
Reading, PA 19605
Phone (484) 317-1600

Interoperability endpoints

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

Organizations & group practices 1

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 7

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1265500698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N 5TH STREET HWY",
            "address_2": "READING CONVENIENT CARE",
            "city": "READING",
            "state": "PA",
            "postal_code": "19605",
            "telephone_number": "610-939-1532",
            "fax_number": "610-939-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N 5TH STREET HWY",
            "address_2": "READING CONVENIENT CARE",
            "city": "READING",
            "state": "PA",
            "postal_code": "19605",
            "telephone_number": "610-939-1532",
            "fax_number": "610-939-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNEPULI",
        "first_name": "GIRI",
        "middle_name": "BABU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD062948L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.