Active NPI
Manasa Madoori
- Dentist
- Pittsburgh, PA
National Provider Identifier
1437605425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS040964
- Practice address
- 3501 Terrace St
Salk Hall
Pittsburgh, PA 15213-2523 - Phone
- (412) 648-8616
- NPI assigned
- Aug 30, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS040964 | PA | Primary |
Addresses
Primary practice location
3501 Terrace St
Salk Hall
Pittsburgh, PA 15213-2523
Mailing address
3501 Terrace St
Salk Hall
Pittsburgh, PA 15213-2523
Phone (412) 648-8616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 30, 2019 through Jul 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040964 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Dental Specialists | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- MC Kees Rocks, PA
- NPI 1851729123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1437605425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 TERRACE ST",
"address_2": "SALK HALL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132523",
"telephone_number": "412-648-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TERRACE ST",
"address_2": "SALK HALL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132523",
"telephone_number": "412-648-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADOORI",
"first_name": "MANASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.