Active NPI
Manish Monga, MD
- Hematology & Oncology Physician
- Wheeling, WV
National Provider Identifier
1508867995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 20832
- Practice address
- 20 Medical Park
Suite 202
Wheeling, WV 26003-6390 - Phone
- (304) 243-6442
- Fax
- (304) 243-3715
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 20832 | WV | Primary |
Addresses
Primary practice location
20 Medical Park
Suite 202
Wheeling, WV 26003-6390
Mailing address
20 Medical Park
Suite 202
Wheeling, WV 26003-6390
Phone (304) 243-6442
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20832 | Other | HEALTH PLAN OF UPPER OH V | |
| 3003156000 | Medicaid | WV | |
| 55035705700 | Other | WV | WV COMPENSATION |
| 2332201 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital Inc | Hematology & Oncology | Current | Accepting new patients |
Locations
51339 National Rd
St Clairsvle, OH 43950
Phone (740) 695-1210
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
20 Medical Park
Ste 202
Wheeling, WV 26003
Phone (304) 243-6442
Organizations & group practices 1
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": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508867995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL PARK",
"address_2": "SUITE 202",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036390",
"telephone_number": "304-243-6442",
"fax_number": "304-243-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL PARK",
"address_2": "SUITE 202",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036390",
"telephone_number": "304-243-6442",
"fax_number": "304-243-3715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGA",
"first_name": "MANISH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WV",
"license": "20832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF UPPER OH V",
"identifier": "20832",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3003156000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV COMPENSATION",
"identifier": "55035705700",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2332201",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.