Active NPI
Manish J Gharia, MD
- Dermatology Physician
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 39577
- Practice address
- 13800 W North Ave Ste 100
Brookfield, WI 53005-4977 - Phone
- (262) 754-4940
- Fax
- (262) 754-4940
- NPI assigned
- Jul 23, 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 |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 39577 | WI | |
| Dermatology Physician | 207N00000X | 39577 | WI | Primary |
Addresses
Primary practice location
13800 W North Ave Ste 100
Brookfield, WI 53005-4977
Mailing address
765 Safer CT
Brookfield, WI 53045-6783
Phone (414) 313-0255
Other practice location 1
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone (508) 693-0410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376565267 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Medical College of Wisconsin, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000
Hospital & facility affiliations
- Mercy Walworth Hospital & Medical Center
- Southwest Health Center
- Martha'S Vineyard Hospital Inc
- Mercy Health System Corp
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin cancer | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39577 | WI | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermavation, S.C. | Dermatology | Current | Accepting new patients |
| Southwest Health Center, Inc. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Affiliated Dermatologists SC | Dermatology | Current | Accepting new patients |
| Southwest Health Center, Inc. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Martha'S Vineyard Hospital | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Southwest Health Center, Inc | Current | Accepting new patients | |
| Martha'S Vineyard Hospital, Inc. | Current | Accepting new patients | |
| Affiliated Dermatologists, SC | Dermatology | Current | Accepting new patients |
| Affiliated Dermatologists SC | Dermatology | Current | Accepting new patients |
| Martha'S Vineyard Hospital, Inc. | Current | Accepting new patients | |
| Layton Avenue Dermatology Associates, S.C. | Dermatology | Past | Accepting new patients |
| Mercy Health System Corporation | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500
13800 W North Ave
Ste 100
Brookfield, WI 53005
Phone (262) 754-4488
375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500
375 W River Woods Pkwy
Ste 116
Glendale, WI 53212
Phone (414) 326-1563
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
13133 N Port Washington Rd
Ste G01
Mequon, WI 53097
Phone (262) 243-2500
4555 W Schroeder Dr
Ste 170
Milwaukee, WI 53223
788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020
788 N Jefferson St
Ste 300
Milwaukee, WI 53202
Phone (414) 272-8950
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
201 N Mayfair Rd
Ste 550
Wauwatosa, WI 53226
Phone (414) 258-3376
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
10499 W Innovation Dr
Ste 100
Wauwatosa, WI 53226
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
2323 S 102nd St
West Allis, WI 53227
Phone (414) 541-9900
Interoperability endpoints
- gharia.manish.mvh@direct.partners.masshiway.net
- mgharia3295@direct.mhemail.org
Organizations & group practices 18
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.
-
- Dermatology Physician
- Brookfield, WI
- NPI 1407849011
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Critical Access Hospital
- Platteville, WI
- NPI 1831279793
-
- Internal Medicine Physician
- Oak Bluffs, MA
- NPI 1194866210
-
- Dermatology Physician
- Wauwatosa, WI
- NPI 1013197862
-
- Dermatology Physician
- New Berlin, WI
- NPI 1194711853
-
- MOHS-Micrographic Surgery Physician
- Oak Creek, WI
- NPI 1316656721
Dermatology
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Multi-Specialty Clinic/Center
- Glendale, WI
- NPI 1215945456
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Critical Access Hospital
- Platteville, WI
- NPI 1831279793
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1376565267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 SAFER CT",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530456783",
"telephone_number": "414-313-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 W NORTH AVE STE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054977",
"telephone_number": "262-754-4940",
"fax_number": "262-754-4940"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Oak Bluffs",
"state": "MA",
"postal_code": "025571406",
"country_code": "US",
"telephone_number": "508-693-0410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHARIA",
"first_name": "MANISH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "WI",
"license": "39577",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "39577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376565267",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.