Individual provider Active NPI

Manoharan Nachiyappan, MD

  • Psychiatry Physician
  • Bristol, CT
National Provider Identifier
1467441378
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
018752 Issued in CT
Practice address
10 N Main St Ste 210
Bristol, CT 06010-8122
Phone
(860) 314-2052
Fax
(860) 314-2054
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 018752 CT Primary

Addresses

Primary practice location

10 N Main St Ste 210
Bristol, CT 06010-8122

Mailing address

PO Box 2828
Bristol, CT 06011-2828
Phone (860) 585-3906

Other identifiers 1

IdentifierTypeStateIssuer
001187525MedicaidCT

Other names 1

  • Dr. Nachiyappan Manoharan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20101011000217 CT Practitioner - Psychiatry 2961694815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bristol Hospital Multi Specialty Group, Inc.Group PAC ID 9032014758, 148 clinicians
Bristol Hospital IncorporatedGroup PAC ID 9739084096, 15 clinicians

Practice addresses (Care Compare)

15 Riverside Ave
Bristol, CT 06010-6312
Phone (860) 585-3333

41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 585-3000

420 N Main St
Bristol, CT 06010-4923
Phone (860) 583-5858

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.86 of 100Reported as group
Quality
11.77
Promoting interoperability
98
Improvement activities
0
Cost
73.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Incorporated CurrentSince Apr 1, 2015 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Jun 13, 2011 Accepting new patients
Bristol Hospital Multi-Specialty Group, Inc. Psychiatry Past Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

420 N Main St
Bristol, CT 06010
Phone (860) 314-4400

10 N Main St
Ste 210
Bristol, CT 06010
Phone (860) 314-2052

5 Maple St
Bristol, CT 06010
Phone (860) 314-2052

Interoperability endpoints

  • Direct secure messaging: nachiyappan.manoharan@bhmg.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1467441378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060112828",
            "telephone_number": "860-585-3906",
            "fax_number": "860-585-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N MAIN ST STE 210",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060108122",
            "telephone_number": "860-314-2052",
            "fax_number": "860-314-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHIYAPPAN",
        "first_name": "MANOHARAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "018752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001187525",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NACHIYAPPAN",
            "last_name": "MANOHARAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.