Individual provider Active NPI

Manasi Sanjay Patwardhan, M.D.

  • Maternal & Fetal Medicine Physician
  • Detroit, MI
National Provider Identifier
1487846507
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
81814 Issued in SC
Practice address
4201 Saint Antoine St Ste 4C
University Health Center
Detroit, MI 48201-2153
Phone
(313) 745-4525
Fax
(313) 745-4399
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 81814 SC
Obstetrics & Gynecology Physician 207V00000X 4301097751 MI
Maternal & Fetal Medicine Physician 207VM0101X 4301097751 MI
Maternal & Fetal Medicine Physician 207VM0101X 01096817A IN
Maternal & Fetal Medicine Physician 207VM0101X 81814 SC Primary

Addresses

Primary practice location

4201 Saint Antoine St Ste 4C
University Health Center
Detroit, MI 48201-2153

Mailing address

295A Midland Pkwy Ste 140
Summerville, SC 29485-5901
Phone (843) 851-3800

Other practice location 1

851 Leonard Fulghum Dr Ste 200
Mount Pleasant, SC 29464-3793
Phone (843) 856-3262

Other practice location 2

851 Leonard Fulghum Dr Ste 200
Mount Pleasant, SC 29464-3793
Phone (843) 856-3262

Other practice location 3

851 Leonard Fulghum Dr Ste 201
Mount Pleasant, SC 29464-3793
Phone (843) 972-2361

Other practice location 4

295A Midland Pkwy Ste 140
Summerville, SC 29485-5901
Phone (843) 851-3800

Other practice location 5

8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189
Phone (317) 415-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TRIDENT.COCTR.SCA@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC, IN, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140616001771 MI Practitioner - Obstetrics/Gynecology 4082838974 Reassigns benefits to 1 organization
I20190806000378 SC Practitioner - Obstetrics/Gynecology 4082838974
I20250811001105 IN Practitioner - Obstetrics/Gynecology 4082838974 Reassigns benefits to 1 organization
I20260327002648 AL Practitioner - Obstetrics/Gynecology 4082838974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Pediatric SubspecialtiesGroup PAC ID 1557313939, 37 clinicians

Practice addresses (Care Compare)

8081 Township Line Rd
Suite 203
Indianapolis, IN 46260-2189
Phone (317) 338-3000

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
73.04
Promoting interoperability
99
Improvement activities
40
Cost
76.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81814SCMDObstetrics & Gynecology Physician
01096817AINMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties Maternal & Fetal Medicine CurrentSince Aug 1, 2025 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Aug 1, 2025 Accepting new patients

Locations

13420 N Meridian St
Ste 200
Carmel, IN 46032
Phone (317) 415-7626

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

Interoperability endpoints

  • Direct secure messaging: manasi.patwardhan.1@7598.direct.athenahealth.com
  • Direct secure messaging: manasi.patwardhan@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1487846507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 140",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855901",
            "telephone_number": "843-851-3800",
            "fax_number": "843-851-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST STE 4C",
            "address_2": "UNIVERSITY HEALTH CENTER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4525",
            "fax_number": "313-745-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Leonard Fulghum Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643793",
            "country_code": "US",
            "telephone_number": "843-856-3262",
            "fax_number": "843-856-3268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Leonard Fulghum Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643793",
            "country_code": "US",
            "telephone_number": "843-856-3262",
            "fax_number": "843-856-3268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Leonard Fulghum Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643793",
            "country_code": "US",
            "telephone_number": "843-972-2361",
            "fax_number": "843-849-3343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295A Midland Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294855901",
            "country_code": "US",
            "telephone_number": "843-851-3800",
            "fax_number": "843-851-7787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 Township Line Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602189",
            "country_code": "US",
            "telephone_number": "317-415-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATWARDHAN",
        "first_name": "MANASI",
        "middle_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "81814",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301097751",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "4301097751",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01096817A",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "SC",
            "license": "81814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRIDENT.COCTR.SCA@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "address_1": "295A Midland Pkwy Ste 140",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294855901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.