Manmadharao Kasaraneni, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

144361 Issued in NY

Practice address

156 West Ave
Brockport, NY 14420-1229

Phone

(585) 395-6095

Fax

(585) 395-6017

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Evergreen Family Medicine, PC

  • Family Medicine Physician
  • Brockport, NY
  • NPI 1528164936
  NPD (past)
• Internal Medicine at Lakeside

  • Internal Medicine Physician
  • Brockport, NY
  • NPI 1083939722
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518050673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TALAMORA TRL",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144203032",
            "telephone_number": "585-637-3371",
            "fax_number": "585-637-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-395-6095",
            "fax_number": "585-395-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASARANENI",
        "first_name": "MANMADHARAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "144361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Eulinda Junor, D.O.
• Theofanis Kalathas, M.D.
• Melissa Ann Kaltenbach, PHARMD
• Dhuha Kamil
• Isabelle Joy Karpovich
• Pamela L Kaufman, LMHC CRC
• Abigail Kelley, MSN, FNP-C
• Christina LN Kemp, PT
• Shauna Marie Ketchum, RPA-C
• Alisa Kim, D.M.D.

• Emergency Medicine Physician in Brockport, NY
• Providers in Brockport, NY by specialty
• Emergency Medicine Physician in New York

• 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.

Verify at the official NPI Registry.