Active NPI
Anita Maniktala, M.D.
- Pediatrics Physician
- Cary, NC
National Provider Identifier
1467563726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9701045
- Practice address
- 212 Ashville Ave
Suite 10
Cary, NC 27511 - Phone
- (919) 859-1136
- Fax
- (919) 859-4240
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9701045 | NC | Primary |
Addresses
Primary practice location
212 Ashville Ave
Suite 10
Cary, NC 27511
Mailing address
212 Ashville Ave
Suite 10
Cary, NC 27511
Phone (919) 859-1136
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3131308 | Other | CIGNA PROVIDER AND GROUP | |
| 6600233 | Other | UNITED PROVIDER NUMBER | |
| 131HK | Other | BCBS PROVIDER NUMBER | |
| 336395 | Other | MAMSI GROUP NUMBER | |
| 7441170 | Other | AETNA GROUP NUMBER | |
| 5476713 | Other | AETNA PROVIDER # | |
| 85268 | Other | MEDCOST PROVIDER NUMBER | |
| 89131HK | Medicaid | NC | |
| 011P3 | Other | BCBS GROUP NUMBER | |
| 89011P3 | Medicaid | NC | |
| 97-01045 | Other | LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467563726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 ASHVILLE AVE",
"address_2": "SUITE 10",
"city": "CARY",
"state": "NC",
"postal_code": "27511",
"telephone_number": "919-859-1136",
"fax_number": "919-859-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 ASHVILLE AVE",
"address_2": "SUITE 10",
"city": "CARY",
"state": "NC",
"postal_code": "27511",
"telephone_number": "919-859-1136",
"fax_number": "919-859-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIKTALA",
"first_name": "ANITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "9701045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER AND GROUP",
"identifier": "3131308",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED PROVIDER NUMBER",
"identifier": "6600233",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "131HK",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI GROUP NUMBER",
"identifier": "336395",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP NUMBER",
"identifier": "7441170",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "5476713",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST PROVIDER NUMBER",
"identifier": "85268",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89131HK",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "011P3",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89011P3",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "97-01045",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.