Manan Raju Sampat

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

53516 Issued in KY

Practice address

1541 Lebanon Rd Ste 2
Danville, KY 40422-8349

Phone

(859) 239-4500

NPI assigned

Apr 11, 2016

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Ophthalmology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ephraim McDowell Health Resource IncGroup PAC ID 7517876956, 161 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048

Merit-based Incentive Payment System (MIPS)

Final score

81.36 of 100Reported as group

Quality

64.78

Promoting interoperability

100

Improvement activities

40

Cost

67.25

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ephraim McDowell Health Resource, Inc.

  dba Danville Family Physicians

  • Family Medicine Physician
  • Danville, KY
  • NPI 1487708533
  Medicare reassignment Care Compare group NPD
• Ephraim McDowell Health Resource, Inc

  dba Ephraim McDowell Specialty Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, KY
  • NPI 1174484463
  NPD
• Ephraim McDowell Health Resource, Inc.

  dba Ephraim McDowell Eye and Vision Center

  • Ophthalmology Physician
  • Danville, KY
  • NPI 1487116471
  NPD
• Ephraim McDowell Health Resource, Inc.

  dba Ephraim McDowell Vascular

  • Medical Specialty Clinic/Center
  • Danville, KY
  • NPI 1437482072
  NPD (past)
• Ephraim McDowell Regional Medical Center Incorporated

  dba Liberty Family Medical Center

  • Family Medicine Physician
  • Liberty, KY
  • NPI 1689729832
  NPD (past)

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

• Ephraim McDowell Regional Medical Center Incorporated

  dba Kids Can Do

  • Rehabilitation Hospital Unit
  • Danville, KY
  • NPI 1639360472
  Care Compare affiliation
• Ephraim McDowell Regional Medical Center Incorporated

  • General Acute Care Hospital
  • Danville, KY
  • NPI 1821135963
  Care Compare affiliation

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1336503820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230990",
            "telephone_number": "859-239-2318",
            "fax_number": "859-936-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 LEBANON RD STE 2",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228349",
            "telephone_number": "859-239-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436047101",
            "country_code": "US",
            "telephone_number": "419-251-1400",
            "fax_number": "419-251-1797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPAT",
        "first_name": "MANAN",
        "middle_name": "RAJU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "53516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Russell, LPCA
• Bobby M Ryan, L.M.T
• Edgar Ruben Salas, M.D.
• Salli Smith Slone, MD, PSC
• Teresa Loraine Salyers, CSW
• Daniel Keith Sanford, MD
• Alexander Savelev, L.M.T.
• Arej M Sawani, M.D.
• SBX TX Otb, PLLC (Therapy Outside The Box)
• Jessica R. Schertz, CRNA

• Ophthalmology Physician in Danville, KY
• Providers in Danville, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.