Individual provider Active NPI

Manickam Sankaran, MD

  • Internal Medicine Physician
  • Altoona, PA
National Provider Identifier
1558389262
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-038264-L Issued in PA
Practice address
901 Valley View Blvd
Altoona, PA 16602
Phone
(814) 943-5198
Fax
(814) 941-3455
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-038264-L PA Primary

Addresses

Primary practice location

901 Valley View Blvd
Altoona, PA 16602

Mailing address

901 Valley View Blvd
Altoona, PA 16602
Phone (814) 943-5198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20071128000480 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8123117116 Reassigns benefits to 3 organizations
Practice locations: Altoona, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-038264-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Healthcare Network Current Accepting new patients
Caring Healthcare Network CurrentSince Jan 15, 2022 Accepting new patients
Icare Medical CurrentSince Dec 1, 2022 Accepting new patients
Caring Healthcare Network CurrentSince Jan 15, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Chestnut Ave
Altoona, PA 16601
Phone (814) 201-5266

100 Susan Dr
Johnstown, PA 15905
Phone (814) 255-1963

18 N Front St
Philipsburg, PA 16866
Phone (814) 201-5266

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

Interoperability endpoints

  • Direct secure messaging: m.sankaran@directaddress.net

Organizations & group practices 7

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1558389262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-943-5198",
            "fax_number": "814-941-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-943-5198",
            "fax_number": "814-941-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKARAN",
        "first_name": "MANICKAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-038264-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.