Individual provider Active NPI

Manish J Gharia, MD

  • Dermatology Physician
  • Brookfield, WI
National Provider Identifier
1376565267
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
39577 Issued in WI
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

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1376565267MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040316001158 WI Practitioner - Dermatology 1456241322 Reassigns benefits to 5 organizations
I20250128000049 MA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1456241322 Reassigns benefits to 1 organization

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 CorporationGroup PAC ID 7416860440, shared by 14 NPIs, 749 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

Hospital & facility affiliations

  • Mercy Walworth Hospital & Medical Center Hospital, Lake Geneva, WI, CCN 521357
  • Southwest Health Center Hospital, Platteville, WI, CCN 521354
  • Martha'S Vineyard Hospital Inc Hospital, Oak Bluffs, MA, CCN 221300
  • Mercy Health System Corp Hospital, Janesville, WI, CCN 520066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin cancer1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39577WIMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermavation, S.C. Dermatology CurrentSince Oct 4, 2004 Accepting new patients
Southwest Health Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 28, 2004 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Oct 1, 2018 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Oct 1, 2018 Accepting new patients
Affiliated Dermatologists SC Dermatology CurrentSince Mar 1, 2022 Accepting new patients
Southwest Health Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 28, 2004 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. CurrentSince Oct 31, 2024 Accepting new patients
Affiliated Dermatologists, SC Dermatology CurrentSince Mar 1, 2022 Accepting new patients
Affiliated Dermatologists SC Dermatology Current Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Oct 31, 2024 Accepting new patients
Layton Avenue Dermatology Associates, S.C. Dermatology PastSince Sep 15, 2003 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

  • Direct secure messaging: gharia.manish.mvh@direct.partners.masshiway.net
  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.