Individual provider Active NPI

Manjinder Kaur, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Hudson, OH
National Provider Identifier
1487865309
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
34010053 Issued in OH
Practice address
231 Seasons Rd
Suite 200
Hudson, OH 44224
Phone
(330) 650-5110
Fax
(330) 650-5115
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58002047 OH
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 34010053 OH Primary

Addresses

Primary practice location

231 Seasons Rd
Suite 200
Hudson, OH 44224

Mailing address

231 Seasons Rd
Suite 200
Hudson, OH 44224
Phone (330) 650-5110

Other identifiers 1

IdentifierTypeStateIssuer
0092544MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120209000824 OH Practitioner - EndocrinologyPractitioner - Internal Medicine 2961669478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians

Practice addresses (Care Compare)

231 Seasons Rd
Suite 200
Cuyahoga Falls, OH 44224-1069
Phone (330) 926-3313

Hospital & facility affiliations

  • Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58002047OHMDInternal Medicine Physician
34010053OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WRH Physicians, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2014 Accepting new patients
WRH Physicians, Inc. PastSince Apr 1, 2014 Accepting new patients

Locations

231 Seasons Rd
Ste 200
Cuyahoga Falls, OH 44224
Phone (330) 650-5110

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

5655 Hudson Dr
Ste 315
Hudson, OH 44236
Phone (330) 591-9635

Interoperability endpoints

  • Direct secure messaging: manjinder.kaur@wrhs.eclinicaldirectplus.com

Organizations & group practices 2

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1487865309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SEASONS RD",
            "address_2": "SUITE 200",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-650-5110",
            "fax_number": "330-650-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SEASONS RD",
            "address_2": "SUITE 200",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-650-5110",
            "fax_number": "330-650-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANJINDER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58002047",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "34010053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.