Organization Active NPI

Maanya LLC

Doing business as Trigg County Medical Clinic

  • Family Medicine Physician
  • Cadiz, KY
National Provider Identifier
1326424177
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44458 Issued in KY
Legal business name
MAANYA LLC
Doing business as
Trigg County Medical Clinic
Practice address
116 Main St
Cadiz, KY 42211-9163
Phone
(270) 350-4504
NPI assigned
Aug 4, 2015
Last updated
Dec 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Dr. Harshul Patel, M.D.NPI 1427213842
Title
Member
Phone
(212) 844-9916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44458 KY Primary
Internal Medicine Physician 207R00000X 42143 KY

Addresses

Primary practice location

116 Main St
Cadiz, KY 42211-9163

Mailing address

116 Main St
Cadiz, KY 42211-9163
Phone (270) 350-4504

Other practice location 1

1724 Kenton St Ste 1D
Hopkinsville, KY 42240-1981
Phone (270) 887-9066

Other practice location 2

320 W 18th St
Hopkinsville, KY 42240-1965
Phone (270) 886-9229

Other practice location 3

250 Main St
Suite A
Cadiz, KY 42211
Phone (510) 883-3264

Other names 1

  • Trigg County Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221000102 KY Part B Supplier - Clinic/Group Practice 5092016824 Receives reassigned benefits from 15 practitioners
Practice locations: Hopkinsville, KY; Princeton, KY; Cadiz, KY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2178653Maanya LLC- Trigg County Medical Clinic116 Main St, Cadiz, KY 42211Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Maanya LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 Main St
#A
Cadiz, KY 42211
Phone (270) 250-4504

250 Main St
Ste A
Cadiz, KY 42211
Phone (270) 522-3444

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1326424177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119163",
            "telephone_number": "270-350-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119163",
            "telephone_number": "270-350-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1724 Kenton St Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401981",
            "country_code": "US",
            "telephone_number": "270-887-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401965",
            "country_code": "US",
            "telephone_number": "270-886-9229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Main St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Cadiz",
            "state": "KY",
            "postal_code": "42211",
            "country_code": "US",
            "telephone_number": "510-883-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAANYA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-844-9916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "44458",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "42143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trigg County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trigg County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadiz, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.