Organization Active NPI

Manu R. Gadani, MD PC Inc

  • Internal Medicine Physician
  • Hopewell, VA
National Provider Identifier
1366530198
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101053054 Issued in VA
Legal business name
MANU R. GADANI, MD PC INC
Practice address
5303 Plaza Dr
Suite--101
Hopewell, VA 23860-7331
Phone
(804) 458-3629
NPI assigned
Oct 10, 2006
Last updated
Jul 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Manu R Gadani, MDNPI 1235345851
Title
President
Phone
(804) 458-2006

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101053054 VA Primary

Addresses

Primary practice location

5303 Plaza Dr
Suite--101
Hopewell, VA 23860-7331

Mailing address

5303 Plaza Dr
Suite--101
Hopewell, VA 23860-7331
Phone (804) 458-3629

Other identifiers 4

IdentifierTypeStateIssuer
006002714MedicaidVA
010558OtherVACIGNA
110212740OtherVARAILROAD MEDICARE
230297OtherVABLUE SHIELD/ANTHEUM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110526000836 VA Part B Supplier - Clinic/Group Practice 1850578998 Receives reassigned benefits from 1 practitioner
Practice locations: Hopewell, VA

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
49D0912026Manu R Gadani, MD PC5303 Plaza Drive Suite 101, Hopewell, VA 23860Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

Locations

5303 Plaza Dr
Ste 101
Hopewell, VA 23860
Phone (804) 458-2006

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1366530198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 PLAZA DR",
            "address_2": "SUITE--101",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238607331",
            "telephone_number": "804-458-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 PLAZA DR",
            "address_2": "SUITE--101",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238607331",
            "telephone_number": "804-458-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANU R. GADANI, MD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "GADANI",
        "authorized_official_first_name": "MANU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-458-2006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101053054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006002714",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "010558",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110212740",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/ANTHEUM",
            "identifier": "230297",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.