Thenu Manikantan, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

209825 Issued in MA

Practice address

265 Benton Dr
Ste 105
East Longmeadow, MA 01028-3219

Phone

(413) 224-2727

Fax

(413) 224-2799

NPI assigned

Oct 27, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Pain ManagementAlso: Anesthesiology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

30 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thenu.manikantan.1@3451.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3451/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SV Pain Management PC

  • Pain Medicine Physician
  • Longmeadow, MA
  • NPI 1124316724
  Medicare reassignment NPD Authorized official
• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909
  NPD (past)
• Hampden County Physician Associates, LLC.

  • Sleep Medicine (Internal Medicine) Physician
  • Southwick, MA
  • NPI 1548567696
  NPD (past)
• Springfield Anesthesia Service, Inc.

  • Anesthesiology Physician
  • Springfield, MA
  • NPI 1093768830
  NPD (past)
• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468713600000",
    "number": "1366432668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BENTON DR",
            "address_2": "STE 105",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283219",
            "telephone_number": "413-224-2727",
            "fax_number": "413-224-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BENTON DR",
            "address_2": "STE 105",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283219",
            "telephone_number": "413-224-2727",
            "fax_number": "413-224-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIKANTAN",
        "first_name": "THENU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2016-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "209825",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "209825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma Plastic Surgery PLLC
• Deaven Nicole Macias, DO
• Kim McGillicuddy Maciaszek, OD
• Marianne Maher, RD LDN
• John Michael Makowicz
• Raymond Manniello, D.D.S.
• Nichole Manning
• Maple Dental Associates
• Ursa Marder
• Alissa Mariano, DMD, FACP

• Pain Medicine (Anesthesiology) Physician in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Pain Medicine (Anesthesiology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; 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.