Devarajan Jyothish Manu, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

282099 Issued in NY

Practice address

1 Atwell Rd
Cooperstown, NY 13326-1301

Phone

(607) 547-6543

Fax

(607) 547-3259

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nathan Littauer Hospital AssociationGroup PAC ID 4183618101, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
• Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090

Merit-based Incentive Payment System (MIPS)

Final score

81.64 of 100Reported as group

Quality

55.31

Promoting interoperability

99

Improvement activities

40

Cost

76.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: devarajan.manu@arn.eclinicaldirectplus.com

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.

• Nathan Littauer Hospital Association

  • Skilled Nursing Facility
  • Gloversville, NY
  • NPI 1073541850
  Medicare reassignment Care Compare group NPD
• Arnot Medical Services PLLC

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1427326768
  Medicare reassignment NPD
• Mary Imogene Bassett Hospital

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment NPD
• Mary Imogene Bassett Hospital

  • Specialty Pharmacy
  • Oneonta, NY
  • NPI 1174419196
  NPD
• Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
  • NPI 1538296207
  NPD
• Nathan Littauer Hospital Association

  • Clinic/Center
  • Gloversville, NY
  • NPI 1770671448
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661
  Care Compare affiliation
• Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
  • NPI 1538296207
  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Pharmacy
  • Gloversville, NY
  • NPI 1285706655

  Hospital

  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Rural Acute Care Hospital
  • Gloversville, NY
  • NPI 1336145168
  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Clinic/Center
  • Gloversville, NY
  • NPI 1770671448

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1275734717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-6543",
            "fax_number": "607-547-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-6543",
            "fax_number": "607-547-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANU",
        "first_name": "DEVARAJAN",
        "middle_name": "JYOTHISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "018645",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301104920",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "282099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "282099",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301104920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Elizabeth Maison, AUD
• Amanda Makhijani, PA-C
• Sumeet Makhijani, MD
• Robert Makofske, RPH
• Matthew Esteban Mantilla
• Joan M Marini, OTR/L
• David B Markowitz, M.D.
• Beth A Marks, RPA C
• Christine Marrone, PMHNP-BC
• Christopher Martens, PHARMD

• Internal Medicine Physician in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.