Active NPI
Manasa Musunuri, M.D.
- Psychiatry Physician
- Angola, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.124099
- Practice address
- 301 E Maumee St
Angola, IN 46703-2012 - Phone
- (260) 667-5635
- Fax
- (260) 665-8852
- NPI assigned
- Mar 19, 2012
- Last updated
- Oct 17, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.124099 | OH | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 45303 | KY |
Addresses
Primary practice location
301 E Maumee St
Angola, IN 46703-2012
Mailing address
301 E Maumee St
Angola, IN 46703-2012
Phone (260) 667-5635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NC, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cameron Memorial Community Hospital Inc
Practice addresses (Care Compare)
301 E Maumee St
Angola, IN 46703-2012
Phone (260) 675-7535
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.124099 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc | Psychiatry | Current | Accepting new patients |
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Unison Behavioral Health Group, Inc. | Current | Accepting new patients |
Locations
301 E Maumee St
Angola, IN 46703
Phone (260) 665-2164
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522
820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071
1425 Starr Ave
Toledo, OH 43605
Phone (419) 259-4506
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cameron Anesthesiology
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
Psychiatry
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1952370561
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Fuquay Varina, NC
- NPI 1871931253
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1487929816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E MAUMEE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467032012",
"telephone_number": "260-667-5635",
"fax_number": "260-665-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MAUMEE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467032012",
"telephone_number": "260-667-5635",
"fax_number": "260-665-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSUNURI",
"first_name": "MANASA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.124099",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "KY",
"license": "45303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.