NPIMap

Individual provider Active NPI

Manish Pandya, M.D.

  • Nephrology Physician
  • Farmington, NM
National Provider Identifier
1326145392
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-2005-0152 Issued in NM
Practice address
301 S Lake St Ste B
Farmington, NM 87401
Phone
(505) 278-8575
Fax
(505) 787-2399
NPI assigned
Sep 20, 2006
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 72-43923-1205 UT
Nephrology Physician 207RN0300X MD-2005-0152 NM Primary

Addresses

Primary practice location

301 S Lake St Ste B
Farmington, NM 87401

Mailing address

PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258

Other practice location 1

301 S Lake St Ste B
Farmington, NM 87401
Phone (505) 278-8575

Other identifiers 4

IdentifierTypeStateIssuer
109497MedicaidAZ
33633339MedicaidNM
04056558MedicaidCO
1326145392MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, UT, AZ4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050831000270 NM Practitioner - Internal MedicinePractitioner - NeurologyPractitioner - Nephrology 6002848900 Reassigns benefits to 2 organizations
I20080327000764 TX Practitioner - Internal MedicinePractitioner - Nephrology 6002848900 Reassigns benefits to 4 organizations
I20101116000885 UT Practitioner - NephrologyPractitioner - Internal Medicine 6002848900 Reassigns benefits to 1 organization
I20140930002730 AZ Practitioner - NephrologyPractitioner - Internal Medicine 6002848900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Kidney Care LLCGroup PAC ID 4587916747, 5 clinicians
DHHS PHS Naihs Shiprock HospitalGroup PAC ID 0749193837, 148 clinicians

Practice addresses (Care Compare)

167 Main St
Tcrhcc Mobile Medical Clinic
Tuba City, AZ 86045-0600
Phone (928) 283-2501

167 N Main St
Tuba City, AZ 86045-0600
Phone (928) 283-2094

2 Rainbow Rd
Navajo Mountain, UT 84511-3910
Phone (928) 672-2498

30 W Medical Dr
Monument Valley, UT 84536-0005
Phone (435) 727-3000

301 S Lake St
Suite B
Farmington, NM 87401-5603
Phone (505) 278-8575

802 S 200
Blanding, UT 84511-3910
Phone (435) 678-3601

East Hwy 262
Montezuma Creek, UT 84534-0130
Phone (435) 651-3700

Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030

Highway 491
Shiprock, NM 87420-0160
Phone 50536860016401

P O Box
160 Attn Business Office
Shiprock, NM 87420-0160

P O Box
Suite 600
Tuba City, AZ 86045-0600

PO Box
Montezuma Creek, UT 84534

PO Box
Montezuma Creek, UT 84534-0130

PO Box
Suite 160
Shiprock, NM 87420-0160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

Merit-based Incentive Payment System (MIPS)

Final score
22.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.27

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100Reported as group
Quality
61.32
Improvement activities
40
Cost
90.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-2005-0152NMMDNephrology Physician
72-43923-1205UTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc Current Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Oct 15, 2018 Accepting new patients
My Kidney Care, LLC Nephrology CurrentSince Mar 13, 2018 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Apr 8, 2017 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Mar 16, 2016 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 8, 2016 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 2, 2024 Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Dec 22, 2010 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Oct 15, 2018 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 8, 2016 Accepting new patients
Utah Navajo Health System, Incorporated CurrentSince Dec 15, 2023 Accepting new patients
San Juan Regional Kidney Care,LLC CurrentSince Mar 25, 2021 Accepting new patients
Lechee Health Facility CurrentSince Dec 22, 2010 Accepting new patients
Utah Navajo Health System, Incorporated Past Accepting new patients
Utah Navajo Health System, Incorporated Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients

Locations

301 S Lake St
Farmington, NM 87401
Phone (505) 278-8575

301 S Lake St
Ste B
Farmington, NM 87401
Phone (505) 278-8575

312 S Lake St
Farmington, NM 87401

407 S Schwartz Ave
Ste 201
Farmington, NM 87401
Phone (505) 609-6300

735 W Animas St
Ste B
Farmington, NM 87401
Phone (505) 278-8575

812 W Maple St
Farmington, NM 87401
Phone (505) 326-6521

802 S 200 W
Blanding, UT 84511
Phone (435) 678-3869

910 S 300 W
Blanding, UT 84511
Phone (435) 678-0700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0cf77109-e68f-4848-a530-1f53e0c2db32/
  • Direct secure messaging: manish.pandya.1@16098.direct.athenahealth.com
  • Direct secure messaging: manish.pandya.1@16299.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1326145392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S LAKE ST STE B",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-278-8575",
            "fax_number": "505-787-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Lake St Ste B",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "87401",
            "country_code": "US",
            "telephone_number": "505-278-8575",
            "fax_number": "505-787-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "MANISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "72-43923-1205",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD-2005-0152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109497",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33633339",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04056558",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326145392",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.