Individual provider Active NPI

Mani Murugesan, PT, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1548505175
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6218 Issued in AZ
Practice address
3330 N 2ND St Ste 601
Phoenix, AZ 85012-2395
Phone
(602) 230-7373
NPI assigned
Dec 7, 2012
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10679 AZ
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X PA6218 AZ
Physician Assistant 363A00000X 6218 AZ Primary
Physical Therapist 225100000X 5501012971 MI

Addresses

Primary practice location

3330 N 2ND St Ste 601
Phoenix, AZ 85012-2395

Mailing address

4600 S Mill Ave #280
Tempe, AZ 85282-6850
Phone (480) 305-2888

Other practice location 1

287 E Hunt Hwy Ste 105
San Tan Valley, AZ 85143-5096
Phone (480) 677-8282

Other names 1

  • Manikandan Murugesan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316001072 AZ Practitioner - Physician Assistant 7911203005 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mind 247 Practice LLCGroup PAC ID 6406253541, 33 clinicians
Transitions Center PLLCGroup PAC ID 6507132016, 4 clinicians
Denova Collaborative Health, LLCGroup PAC ID 2466437736, 141 clinicians

Practice addresses (Care Compare)

10046 N Metro Pkwy W
Phoenix, AZ 85051-1437
Phone (844) 646-3247

1030 E Guadalupe Rd
Tempe, AZ 85283-3044
Phone (480) 491-1898

1138 S Higley Rd
Mesa, AZ 85206-3000
Phone (844) 646-3247

3033 N Central Ave
Suite 700
Phoenix, AZ 85012-2806
Phone (602) 230-7373

3330 N 2ND St
Suite 601
Phoenix, AZ 85012-2395
Phone (602) 230-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5501012971MIMDPhysical Therapist
10679AZMDPhysician Assistant
PA6218AZMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Mar 27, 2017 Accepting new patients
Good Health Medical, PLLC CurrentSince Mar 27, 2017 Accepting new patients
Century Care Inc CurrentSince Dec 1, 2025 Accepting new patients
Atlas Medical Aco LLC CurrentSince Dec 1, 2025 Accepting new patients
Mind 247 Practice LLC CurrentSince May 31, 2022 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Feb 1, 2019 Accepting new patients
Mind 247 Practice LLC CurrentSince May 31, 2022 Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients
Psychiatric Associates, PLLC Past Accepting new patients

Locations

235 W Western Ave
Avondale, AZ 85323
Phone (623) 772-5091

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

5045 W Baseline Rd
Ste A110
Laveen, AZ 85339

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

2204 S Dobson Rd
Ste 102
Mesa, AZ 85202
Phone (480) 485-5166

7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 674-5515

10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

3330 N 2nd St
Ste 601
Phoenix, AZ 85012
Phone (602) 234-3444

3620 N 3rd St
Phoenix, AZ 85012
Phone (602) 329-8250

77 E Columbus Ave
Ste 210
Phoenix, AZ 85012

9014 S Central Ave
Phoenix, AZ 85042
Phone (602) 384-8820

9675 W Camelback Rd
Phoenix, AZ 85037
Phone (623) 849-8000

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257
Phone (602) 834-0404

4600 S Mill Ave
Ste 280
Tempe, AZ 85282

Interoperability endpoints

  • Direct secure messaging: denova.manimurugesan@141317.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4
  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1548505175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S MILL AVE #280",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826850",
            "telephone_number": "480-305-2888",
            "fax_number": "480-305-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 601",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122395",
            "telephone_number": "602-230-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "287 E Hunt Hwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851435096",
            "country_code": "US",
            "telephone_number": "480-677-8282",
            "fax_number": "480-677-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURUGESAN",
        "first_name": "MANI",
        "credential": "PT, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10679",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "PA6218",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6218",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANIKANDAN",
            "last_name": "MURUGESAN",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.