NPIMap

Individual provider Active NPI

Aswathnarayan R Manandhi, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1568662385
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD211611 Issued in OR
Practice address
127 S San Vicente Blvd Ste A3600
Los Angeles, CA 90048-3311
Phone
(310) 423-3977
Fax
(310) 423-6795
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 050003 CT
Cardiovascular Disease Physician 207RC0000X A170306 CA
Interventional Cardiology Physician 207RI0011X MD211611 OR
Internal Medicine Physician 207R00000X MD211611 OR Primary

Addresses

Primary practice location

127 S San Vicente Blvd Ste A3600
Los Angeles, CA 90048-3311

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

80 Seymour Street
Hartford Hospital Cardiology Dept
Hartford, CT 06102-5037
Phone (860) 545-4398

Other identifiers 2

IdentifierTypeStateIssuer
100500484 GROUPMedicaidNV
001500032MedicaidCT

Other names 1

  • Aswathnarayan Raghavendra Manandhi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017002490 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547386963 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians
Cascade Cardiology LLCGroup PAC ID 2466446844, 6 clinicians
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660

777 Commercial St SE
Suite 130
Salem, OR 97301-0060
Phone 5034854787117

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
78.79
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050003CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Oct 3, 2022 Accepting new patients
Salem Health West Valley CurrentSince Oct 3, 2022 Accepting new patients
Cascade Cardiology LLC Internal Medicine CurrentSince Oct 3, 2022 Accepting new patients
Salem Health CurrentSince Oct 3, 2022 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Dec 1, 2022 Accepting new patients
Silverton Health CurrentSince Dec 1, 2022 Accepting new patients
Cascade Cardiology LLC Cardiovascular Disease CurrentSince Oct 3, 2022 Accepting new patients
Cascade Cardiology LLC Cardiovascular Disease Past Accepting new patients

Locations

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

777 Commercial St SE
Ste 130
Salem, OR 97301
Phone (503) 485-4787

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

454 Welch St
Silverton, OR 97381
Phone (503) 873-1722

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

400 Welch St
Silverton, OR 97381
Phone (503) 485-4787

1371 N 10th Ave
Stayton, OR 97383
Phone (503) 769-1605

Interoperability endpoints

  • Direct secure messaging: raghu.manandhi.p20@direct.wvp.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1568662385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S SAN VICENTE BLVD STE A3600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483311",
            "telephone_number": "310-423-3977",
            "fax_number": "310-423-6795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour Street",
            "address_2": "Hartford Hospital Cardiology Dept",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061025037",
            "country_code": "US",
            "telephone_number": "860-545-4398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANANDHI",
        "first_name": "ASWATHNARAYAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "050003",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A170306",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD211611",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD211611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500484 GROUP",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001500032",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASWATHNARAYAN",
            "last_name": "MANANDHI",
            "middle_name": "RAGHAVENDRA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.