Individual provider Active NPI

Manish Rawat, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
National Provider Identifier
1306071816
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
173Rd STB
Bamberg, BAVARIA 09139
DE
Phone
01622730954
NPI assigned
May 28, 2009
Last updated
May 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

173Rd STB
Bamberg, BAVARIA 09139
DE

Mailing address

HHC 173Rd STB
CMR 459 Box 17405
Apo, AE 09139
Phone 01622730954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207000631 TX Practitioner - Physician Assistant 2769831411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Valley Urgent Care CenterGroup PAC ID 8426055054, 5 clinicians

Practice addresses (Care Compare)

121 E Redd Rd
El Paso, TX 79932-1981
Phone (915) 584-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Wellness Clinic, PA Current Accepting new patients

Locations

121 E Redd Rd
El Paso, TX 79932
Phone (915) 584-8822

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.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1306071816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "HHC 173RD STB",
            "address_2": "CMR 459 BOX 17405",
            "city": "APO",
            "state": "AE",
            "postal_code": "09139",
            "telephone_number": "01622730954"
        },
        {
            "country_code": "DE",
            "country_name": "Germany",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "173RD STB",
            "city": "BAMBERG",
            "state": "BAVARIA",
            "postal_code": "09139",
            "telephone_number": "01622730954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWAT",
        "first_name": "MANISH",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.