Hanisha Rajlakshmi Manickavasagan, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0101281309 Issued in VA

Practice address

954 Isabel Dr
Lebanon, PA 17042-7482

Phone

(717) 376-1180

Fax

(717) 273-6937

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, KY, VA, IL, IN5 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 5

Specialty

Gastroenterology

Education

Pennsylvania State University College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
• Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hmanickavasagan872921@direct.sentara.net

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.

• Community Physicians of Indiana Inc

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1619105244

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Kentucky Specialty Care LLC

  • Surgery Physician
  • Paducah, KY
  • NPI 1700408093
  Medicare reassignment Care Compare group NPD
• Evangelical Medical Services Organization

  dba WellSpan Behavioral Health

  • Surgery Physician
  • Lewisburg, PA
  • NPI 1205928967

  Internal Medicine

  Medicare reassignment NPD
• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643

  Internal Medicine

  Medicare reassignment NPD
• Martha Jefferson Medical Group LLC

  • Family Medicine Physician
  • Charlottesville, VA
  • NPI 1275720559

  Internal Medicine

  Medicare reassignment NPD
• Evangelical Medical Services Organization

  dba WellSpan Urology

  • Urology Physician
  • Lewisburg, PA
  • NPI 1083412084
  NPD
• Evangelical Medical Services Organization

  dba WellSpan Family Medicine

  • Family Medicine Physician
  • Lewisburg, PA
  • NPI 1295834984

  Internal Medicine

  NPD
• Community Physicians of Indiana Inc

  dba Community Physician Network

  • Endocrinology, Diabetes & Metabolism Physician
  • Carmel, IN
  • NPI 1992396337
  NPD
• Mercy Health Physicians Kentucky Specialty Care LLC

  dba Mercy Health - Paducah Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1043088347
  NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  Internal Medicine

  NPD
• Martha Jefferson Hospital

  dba Sentara Endoscopy Center

  • Endoscopy Clinic/Center
  • Charlottesville, VA
  • NPI 1942189022
  NPD (past)
• Mercy Health Physicians Kentucky LLC

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922243690

  Gastroenterology

  NPD (past)

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

• Riddle Memorial Hospital

  • General Acute Care Hospital
  • Media, PA
  • NPI 1407856099
  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • Clinical Medical Laboratory
  • Paducah, KY
  • NPI 1245620640

  Hospital

  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1346244126
  Care Compare affiliation

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1437539640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-376-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 ISABEL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427482",
            "telephone_number": "717-376-1180",
            "fax_number": "717-273-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1088 W Baltimore Pike",
            "address_2": "Suite 2203 RHC 2",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635136",
            "country_code": "US",
            "telephone_number": "484-476-8390",
            "fax_number": "484-476-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462270963",
            "country_code": "US",
            "telephone_number": "317-887-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "824 N Military Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023652",
            "country_code": "US",
            "telephone_number": "888-236-2263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Grant Ave Unit 3",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191154378",
            "country_code": "US",
            "telephone_number": "215-333-1776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Martha Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-5260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANICKAVASAGAN",
        "first_name": "HANISHA",
        "middle_name": "RAJLAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01098255A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD474258",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101281309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300122944",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeb S Malcolm, LMT
• Janine Malin, LSW
• Victoria Elaine Malone, MD
• April Hope Mandeville-Palm, MSW, LCSW
• Ma. Dennica Lee Trivino Mandigma, MD
• Michelle Joan Manjerovic, PTA
• Manor Care of Lebanon PA, LLC (ProMedica Skilled Nursing and Rehabilitation (Lebanon))
• Manor Care-Linden Village of Lebanon PA LLC (Linden Village ManorCare Health Services)
• Annalisa Manuel
• Teresa Maran-Trimmer, CRNP

• Gastroenterology Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; 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.

Verify at the official NPI Registry.