Jayadev Manikkam Umakanthan, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

2018-01082 Issued in NC

Practice address

11200 Governor Manly Way Ste 102
Raleigh, NC 27614-7360

Phone

(919) 570-7550

NPI assigned

Jul 16, 2012

Last updated

Aug 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Hematology/Oncology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061
• Rex Hospital Hospital, Raleigh, NC, CCN 340114
• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmanikkamumakanthan437491@direct.unc.nchie.net

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.

• North Carolina MG, LLC

  dba UNC Health North Carolina Heart and Vascular

  • Hospitalist Physician
  • Raleigh, NC
  • NPI 1215741640

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• NHCS Physicians Inc

  dba Nash Critical Care

  • Cardiovascular Disease Physician
  • Rocky Mount, NC
  • NPI 1801252275
  Medicare reassignment NPD
• NHCS Physicians Inc

  dba Nash Specialty Services PA-C

  • Physician Assistant
  • Rocky Mount, NC
  • NPI 1003028630
  NPD
• Rex Hospital Inc

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1144248683
  NPD
• Rex Hospital Inc

  dba Rex Hematology Oncology Associates

  • Hematology & Oncology Physician
  • Raleigh, NC
  • NPI 1942239538
  NPD
• Rex Hospital, Inc

  dba Rex Pharmacy of Raleigh

  • Pharmacy
  • Raleigh, NC
  • NPI 1174624803
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nash Hospitals Inc

  dba Nash General Hospital

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219
  Care Compare affiliation
• Rex Hospital Inc.

  dba Rex Hospital

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1497797088
  Care Compare affiliation
• University of North Carolina Hospitals at Chapel Hill

  dba UNC Hospitals

  • General Acute Care Hospital
  • Chapel Hill, NC
  • NPI 1932208576
  Care Compare affiliation

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1508111527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "DEPT OF INTERNAL MEDICINE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147360",
            "telephone_number": "919-570-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old York Rd",
            "address_2": "Dept of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013720",
            "country_code": "US",
            "telephone_number": "215-481-4105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIKKAM UMAKANTHAN",
        "first_name": "JAYADEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT200805",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2018-01082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmanikkamumakanthan437491@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "11200 Governor Manly Way Ste 102",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276147360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tamara Litquinnie Mangum, NP
• Nisha Thannikkary Manickam, DO
• Manifest Counseling PLLC
• Laura Mary Maniff, RD
• Sarina Manifold, LCSW
• Eva M Manitius, M.D.
• Vaishali Sukhani Mankad, MD
• Kassidy Lorraine Manke, MS, RDN, LDN
• Emma Gray Mankin, LCSWA
• Keith P Mankin, MD

• Hematology & Oncology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.

Verify at the official NPI Registry.