Active NPI
Manohar Atri, MD
- Nephrology Physician
- Saginaw, MI
National Provider Identifier
1346242591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 486605
- Practice address
- 4855 Berl Dr
Saginaw, MI 48604-2801 - Phone
- (989) 799-8000
- Fax
- (989) 799-8797
- NPI assigned
- Jun 1, 2005
- Reactivated
- May 17, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 486605 | MI | Primary |
Addresses
Primary practice location
4855 Berl Dr
Saginaw, MI 48604-2801
Mailing address
4855 Berl Dr
Saginaw, MI 48604-2801
Phone (989) 799-8000
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383225867 | Other | MI | TRICARE |
| 1078667 | Other | MI | CIGNA |
| 383225867991 | Other | MI | COMMUNITY CHOICE |
| 118391 | Other | MI | GREAT LAKES HEALTH PLAN |
| 31814 | Other | MI | PRIORITY HEALTH |
| HUMANA CHOICE | Other | MI | 383225867 |
| 1107309721 | Other | MI | SAGINAW HEALTH PLAN |
| 383225867 | Other | MI | HUMANA |
| 1001269 | Other | MI | MCCLAREN HEALTH PLAN |
| 3127406 | Other | MI | MOLINA |
| 1107309721 | Other | MI | HEALTH PLUS |
| 3127406 | Medicaid | MI | |
| E82654 | Other | MI | PALMETTO GBA |
| P64820 | Other | MI | BLUE CARE NETWORK |
| 383225867 | Other | MI | TRICARE FOR LIFE NORTH |
| 4219281 | Other | MI | AETNA |
| C3336 | Other | MI | MCARE |
| 1107309722 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 486605 | MI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beecher Medical Clinic Inc | Nephrology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nephrology Physician
- Saginaw, MI
- NPI 1447464045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346242591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 BERL DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042801",
"telephone_number": "989-799-8000",
"fax_number": "989-799-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 BERL DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042801",
"telephone_number": "989-799-8000",
"fax_number": "989-799-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATRI",
"first_name": "MANOHAR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2007-07-09",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "486605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "383225867",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1078667",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE",
"identifier": "383225867991",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "118391",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "31814",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "383225867",
"identifier": "HUMANA CHOICE",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGINAW HEALTH PLAN",
"identifier": "1107309721",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "383225867",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCCLAREN HEALTH PLAN",
"identifier": "1001269",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "3127406",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "1107309721",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3127406",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "E82654",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P64820",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE FOR LIFE NORTH",
"identifier": "383225867",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4219281",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C3336",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1107309722",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.