Manish D Pandya, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009513 Issued in IL

Practice address

4111 W 26TH St
Chicago, IL 60623-4313

Phone

(773) 542-1111

Fax

(773) 542-7100

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Axis Medical Management Goup SC

  • Rehabilitation Chiropractor
  • Chicago, IL
  • NPI 1932221397
  NPD (past)
• Care Clinical Lab Inc

  • Clinical Medical Laboratory
  • Skokie, IL
  • NPI 1063181774
  NPD (past)
• Palmas & Ram Rudra LLC

  • Chiropractor
  • Milwaukee, WI
  • NPI 1922395151
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1467498022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E FULLERTON AVE",
            "address_2": "UNIT 107",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392917",
            "telephone_number": "630-965-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234313",
            "telephone_number": "773-542-1111",
            "fax_number": "773-542-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "MANISH",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009513",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001637989",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Pandolfino, MD
• Ami D Pandya, DDS
• Kaveet Pandya
• Lopa K Pandya, M.D.
• Manish Pandya, DPM
• Mitra S Pandya, D.M.D.
• Prerita Viral Pandya
• Rishi Pandya
• Roopali Ghosh Pandya, LCPC, CCM
• Shan Pandya, DO

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.