Kanan D Maniar, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

D0064700 Issued in MD

Practice address

12011 Lee Jackson Memorial Hwy
Penderbrook Medical Center
Fairfax, VA 22033-3310

Phone

(703) 383-5400

NPI assigned

Sep 29, 2006

Last updated

Dec 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TX

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

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.

• Eagle Butte Indian Health Service Hospital

  • Public Health or Welfare Agency
  • Eagle Butte, SD
  • NPI 1558395848

  TX

  Medicare reassignment NPD
• Quentin N Burdick Comprehensive Health Care Facility

  • Rural Acute Care Hospital
  • Belcourt, ND
  • NPI 1952346934

  TX

  Medicare reassignment NPD
• Winnebago Tribe of Nebraska

  dba Winnebago Comprehensive Healthcare Systems

  • Clinic/Center
  • Winnebago, NE
  • NPI 1033608328

  TX

  Medicare reassignment NPD
• Winnebago Tribe of Nebraska

  dba Winnebago Tribal Rescue and Ambulance

  • Land Ambulance
  • Winnebago, NE
  • NPI 1295720811
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• U S Health Dept of Health & Human Services

  dba Heart Butte Clinic

  • Clinic/Center
  • Heart Butte, MT
  • NPI 1598867848
  NPD (past)
• U S Health Dept of Health & Human Services

  • General Acute Care Hospital
  • Browning, MT
  • NPI 1861409955
  NPD (past)
• US Dept of HHS

  dba Lame Deer Health Center

  • Clinic/Center
  • Lame Deer, MT
  • NPI 1053487991
  NPD (past)
• US Health Dept of Health & Human Services

  • Federal Public Health Clinic/Center
  • Fort Washakie, WY
  • NPI 1023174299
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1366534042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E JEFFERSON ST",
            "address_2": "KAISER PERMANENTE MEDICARE ENROLLMENT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON MEMORIAL HWY",
            "address_2": "PENDERBROOK MEDICAL CENTER",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333310",
            "telephone_number": "703-383-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIAR",
        "first_name": "KANAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0064700",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101247156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaitanya Surendra Mangalmurti, MD
• Lauren Manganello, MS, RD, LDN
• Vikas Mangewala, M.D.
• Wien Manguerra-Casiano, D.O.
• Alex Dertad Manguikian, M.D., PH.D.
• Timothy Patrick Manley, M.S.W.
• Lauryn Mann
• Susan E Mannan, M.D.
• Laura Jean Manning, MA, CCC-SLP
• Skylar Manning, DPT

• Rheumatology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Rheumatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.