Individual provider Active NPI

Amit Koushik Manjunath, MD

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1407436652
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD492710 Issued in PA
Practice address
833 Chestnut St Ste 1220
Philadelphia, PA 19107-4413
Phone
(800) 321-9999
NPI assigned
Apr 12, 2021
Sex
Male
Sole proprietor
No

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

833 Chestnut St
Philadelphia, PA 19107-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20260616001444 NJ Practitioner - Orthopedic Surgery 0749752202
I20260616001821 PA Practitioner - Orthopedic Surgery 0749752202

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: amanjunath204282@nyumc.direct-ci.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA12935600 NJ
Orthopaedic Surgery Physician 207X00000X MD492710 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

833 Chestnut St Ste 1220
Philadelphia, PA 19107-4413

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (800) 321-9999

Other practice location 1

999 Route 73 N Ste 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2026.

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1407436652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "800-321-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 1220",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074413",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Route 73 N Ste 401",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080531227",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANJUNATH",
        "first_name": "AMIT",
        "middle_name": "KOUSHIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA12935600",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD492710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.