Individual provider Active NPI

Nisha J Manek, M.D.

  • Rheumatology Physician
  • Phoenix, AZ
National Provider Identifier
1437139151
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
42431 Issued in MN
Practice address
6838 N 23Rd Ave
Phoenix, AZ 85015-1056
Phone
(602) 864-8800
Fax
(602) 864-1448
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 42431 MN Primary
Rheumatology Physician 207RR0500X 45240 AZ

Addresses

Primary practice location

6838 N 23Rd Ave
Phoenix, AZ 85015-1056

Mailing address

6838 N 23Rd Ave
Phoenix, AZ 85015-1056
Phone (602) 864-8800

Other identifiers 1

IdentifierTypeStateIssuer
200645600MedicaidMN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200401001340 TX Practitioner - Rheumatology 4486798097 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodrow Wilson Keeble Memorial Health Care CenterGroup PAC ID 1850295940, 23 clinicians
U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians
Eagle Butte Indian Health Service HospitalGroup PAC ID 7517852759, 42 clinicians
Rosebud Indian Health ServiceGroup PAC ID 6901704055, 76 clinicians
Eastern Shoshone TribeGroup PAC ID 7810422193, 17 clinicians

Practice addresses (Care Compare)

100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 698-7606

10110 S 7650
Crow Agency, MT 59022-0009
Phone (406) 638-4616

107 H St
P O Box 67
Poplar, MT 59255-0067

107 H St E
P O Box 67
Poplar, MT 59255-0067

24276 166TH Airport Rd
Eagle Butte, SD 57625-1022
Phone 60596477240515

400 Soldier Creek Dr
Rosebud, SD 57570-8502
Phone (918) 457-8945

P O Box
Suite 760
Browning, MT 59417-0760

PO Box
Suite 1012
Eagle Butte, SD 57625-1012

PO Box
Suite 128
Fort Washakie, WY 82514-0128
Phone (307) 332-7300

PO Box
Suite 400
Rosebud, SD 57570

Hospital & facility affiliations

  • P H S Indian Hospital-Ft Belknap at Harlem - Cah Hospital, Harlem, MT, CCN 271315

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
68.64
Promoting interoperability
91
Improvement activities
40
Cost
86.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Butte Indian Health Service Hospital CurrentSince Dec 10, 2019 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Feb 1, 2021 Accepting new patients
Woodrow Wilson Keeble Memorial Health Care Center CurrentSince Dec 7, 2019 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jun 25, 2022 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jan 15, 2022 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Feb 1, 2021 Accepting new patients
Rosebud Indian Health Service CurrentSince Jun 11, 2023 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jan 15, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Jun 11, 2023 Accepting new patients
Eastern Shoshone Tribe Family Medicine CurrentSince Feb 27, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
US Dept of HHS Family Medicine Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

107 H St
Poplar, MT 59255
Phone (406) 738-3491

1300 Hospital Loop
Belcourt, ND 58316

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

4100 W 150th St
#3
Cleveland, OH 44135

100 Lake Traverse Dr
Sisseton, SD 57262

Organizations & group practices 15

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 15

Hospital & facility affiliations 2

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1437139151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 N 23RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151056",
            "telephone_number": "602-864-8800",
            "fax_number": "602-864-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 N 23RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151056",
            "telephone_number": "602-864-8800",
            "fax_number": "602-864-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEK",
        "first_name": "NISHA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "42431",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "45240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200645600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.