NPIMap

Individual provider Active NPI

Manjula Kandaa Raman, MD

  • Internal Medicine Physician
  • Pottstown, PA
National Provider Identifier
1275533390
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD066391L Issued in PA
Practice address
13 Armand Hammer Blvd
Suite 100
Pottstown, PA 19464-5067
Phone
(610) 323-3100
Fax
(610) 323-7060
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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 MD066391L PA Primary

Addresses

Primary practice location

13 Armand Hammer Blvd
Suite 100
Pottstown, PA 19464-5067

Mailing address

13 Armand Hammer Blvd
Suite 100
Pottstown, PA 19464-5067
Phone (610) 323-3100

Other identifiers 1

IdentifierTypeStateIssuer
001971383MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000427 PA Practitioner - Internal Medicine 5294732764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penn Medicine-PmaGroup PAC ID 6507269370, 55 clinicians

Practice addresses (Care Compare)

13 Armand Hammer Blvd
Pottstown, PA 19464-5067

150 Monument Rd
Suite 400
Bala Cynwyd, PA 19004-1725
Phone (610) 747-3470

Hospital & facility affiliations

  • Tri County Home Health Home health agency, Pottstown, PA, CCN 397302
  • Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • Bayada Home Health Care, Inc. Home health agency, Blue Bell, PA, CCN 398276
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD066391LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Medicine-Pma CurrentSince Jan 25, 2022 Accepting new patients
Penn Medicine-Pma Internal Medicine CurrentSince Jan 25, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Past Accepting new patients

Locations

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

826 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

13 Armand Hammer Blvd
Ste 100
Pottstown, PA 19464
Phone (610) 323-3100

Interoperability endpoints

  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

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 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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1275533390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ARMAND HAMMER BLVD",
            "address_2": "SUITE 100",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645067",
            "telephone_number": "610-323-3100",
            "fax_number": "610-323-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ARMAND HAMMER BLVD",
            "address_2": "SUITE 100",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645067",
            "telephone_number": "610-323-3100",
            "fax_number": "610-323-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAN",
        "first_name": "MANJULA",
        "middle_name": "KANDAA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD066391L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001971383",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.