Active NPI
Heeraimangalore S Manjunath, MD
- Advanced Heart Failure and Transplant Cardiology Physician
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- 9450
- Practice address
- 801 Broadway N
Fargo, ND 58102-3641 - Phone
- (701) 234-2371
- Fax
- (701) 234-3813
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 9450 | ND | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 9450 | ND |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2371
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2259002 | Other | ND | AMERICA'S PPO/ARAZ # |
| HP48027 | Other | ND | HEALTHPARTNERS # |
| 137120 | Other | ND | UCARE # |
| 27208 | Other | ND | ND BCBS |
| 917D5MA | Other | ND | MNBS # |
| 12427 | Medicaid | ND | |
| 2501717 | Other | ND | MEDICA # |
| 2502164 | Other | MEDICA | |
| 806926300 | Medicaid | MN | |
| DA9011042786 | Other | ND | PREFERRED ONE # |
| 25027 | Other | ND | NDBS # |
| 37999 | Other | ND | LHS # |
| 600G7MA | Other | MN | MN BCBS |
| HP48027 | Other | HEALTPARTNERS | |
| 1042786 | Other | PREFERREDONE | |
| 806926300 | Medicaid | ND | |
| 2501505 | Other | ND | MEDICA # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
1412 Main St
Hawley, MN 56549
Phone (218) 483-3564
21 Wiley Ave S
Lidgerwood, ND 58053-4001
Phone (701) 538-4189
211 E Mill St
Pelican Rapids, MN 56572-4234
Phone (218) 863-6100
300 2ND Ave NE
Jamestown, ND 58401-3373
Phone (701) 251-6000
332 2ND Ave N
Wahpeton, ND 58075-4528
Phone (701) 642-7000
401 12TH St N
Wheaton, MN 56296-1070
Phone (320) 563-8971
420 S 7TH St
Oakes, ND 58474-2024
Phone (701) 742-3267
520 Chautauqua Blvd
Valley City, ND 58072-3145
Phone (701) 845-6000
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
618 14TH Ave NE
Devils Lake, ND 58301-2808
Phone (701) 544-7000
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Perham Health
- Sanford Mayville
- Sanford Medical Center Bismarck
- Sanford Hillsboro
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.39 of 100
- Quality
- 91.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.99 of 100
- Quality
- 92.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Family Medicine | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Michael Yoong Mdpa | Family Medicine | Past | Accepting new patients |
| Maryland Cardiology Associates, LLC | Past | Accepting new patients | |
| Sanford Medical Center Fargo | Cardiovascular Disease | Past | Accepting new patients |
Locations
4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
904 5th Ave NE
Jamestown, ND 58401
Phone (701) 253-4000
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1386047355
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Community/Retail Pharmacy
- Thief River Falls, MN
- NPI 1346423373
-
- Specialist
- Greenbelt, MD
- NPI 1982752747
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
-
- Critical Access Hospital
- Hillsboro, ND
- NPI 1184725194
-
- Critical Access Hospital
- Mayville, ND
- NPI 1518061803
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Critical Access Hospital
- Perham, MN
- NPI 1790799518
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1366472441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581023641",
"telephone_number": "701-234-2371",
"fax_number": "701-234-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581023641",
"telephone_number": "701-234-2371",
"fax_number": "701-234-3813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANJUNATH",
"first_name": "HEERAIMANGALORE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "ND",
"license": "9450",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ND",
"license": "9450",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO/ARAZ #",
"identifier": "2259002",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS #",
"identifier": "HP48027",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE #",
"identifier": "137120",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND BCBS",
"identifier": "27208",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "917D5MA",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12427",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "2501717",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2502164",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806926300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE #",
"identifier": "DA9011042786",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBS #",
"identifier": "25027",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LHS #",
"identifier": "37999",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BCBS",
"identifier": "600G7MA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTPARTNERS",
"identifier": "HP48027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "1042786",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806926300",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "2501505",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.