Individual provider Active NPI

Manav Segal, M.D.

  • Allergy & Immunology Physician
  • Wyndmoor, PA
National Provider Identifier
1275747636
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD426362 Issued in PA
Practice address
8200 Flourtown Avenue
Suite 4
Wyndmoor, PA 19038-7976
Phone
(215) 247-2292
Fax
(215) 247-6885
NPI assigned
May 9, 2007
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD426362 PA Primary

Addresses

Primary practice location

8200 Flourtown Avenue
Suite 4
Wyndmoor, PA 19038-7976

Mailing address

8200 Flourtown Ave Ste 4
Wyndmoor, PA 19038-7969
Phone (215) 247-2292

Other practice location 1

255 S 17th St Ste 1104
Philadelphia, PA 19103-6212
Phone (215) 247-2292

Other identifiers 2

IdentifierTypeStateIssuer
23669OtherNESTATE LICENSE
MD426362OtherPASTATE LICENSE

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
I20100609000540 PA Practitioner - Allergy/Immunology 4880724343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chestnut Hill Allergy and Asthma Associates, LLCGroup PAC ID 2365570892, 3 clinicians

Practice addresses (Care Compare)

8200 Flourtown Ave
Suite 4
Glenside, PA 19038-7969
Phone 2152472292104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.51 of 100Reported as group
Quality
93.91
Promoting interoperability
99
Improvement activities
40
Cost
75.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD426362PAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Otolaryngology and Facial Plastic Surgery LLC CurrentSince Jun 12, 2017 Accepting new patients
Chestnut Hill Allergy and Asthma Associates, LLC Allergy & Immunology CurrentSince Nov 1, 2009 Accepting new patients

Locations

255 S 17th St
Ste 1104
Philadelphia, PA 19103
Phone (215) 545-2252

8200 Flourtown Ave
Ste 4
Wyndmoor, PA 19038
Phone (215) 247-2292

Interoperability endpoints

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

Organizations & group practices 2

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 2

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1275747636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE STE 4",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387969",
            "telephone_number": "215-247-2292",
            "fax_number": "215-247-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVENUE",
            "address_2": "SUITE 4",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-247-2292",
            "fax_number": "215-247-6885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S 17th St Ste 1104",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191036212",
            "country_code": "US",
            "telephone_number": "215-247-2292",
            "fax_number": "215-247-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "MANAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD426362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "23669",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD426362",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

Verify at the official NPI Registry.