Active NPI
Feby Maria Puravath Manikat, M.D.
- Sleep Medicine (Family Medicine) Physician
- Redwood City, CA
National Provider Identifier
1437594348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- A176444
- Practice address
- 450 Broadway St # B
Redwood City, CA 94063-3132 - Phone
- (650) 569-0342
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | A176444 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | A176444 | CA | Primary |
Addresses
Primary practice location
450 Broadway St # B
Redwood City, CA 94063-3132
Mailing address
450 Broadway St.
Sleep Medicine, Pavilion B
Redwood City, CA 94063-3132
Phone (650) 569-0342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A176444 | CA | MD | Sleep Medicine (Family Medicine) Physician |
Interoperability endpoints
- feby.maria.puravath.manikat.1@19661.direct.athenahealth.com
- fpuravathu258012@direct.texashealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1437594348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BROADWAY ST.",
"address_2": "SLEEP MEDICINE, PAVILION B",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940633132",
"telephone_number": "650-569-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROADWAY ST # B",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940633132",
"telephone_number": "650-569-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURAVATH MANIKAT",
"first_name": "FEBY",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-06",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "A176444",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "CA",
"license": "A176444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.