NPIMap

Organization Active NPI

Manhattan Medical Group, LLC

  • Interventional Cardiology Physician
  • Manhattan, KS
National Provider Identifier
1609138387
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
MANHATTAN MEDICAL GROUP, LLC
Practice address
200 Research Dr
Manhattan, KS 66503-3049
Phone
(785) 539-4644
Fax
(785) 539-8010
NPI assigned
Jun 8, 2012
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Margaret Matson
Title
Practice Manager
Phone
(785) 539-4644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

200 Research Dr
Manhattan, KS 66503-3049

Mailing address

200 Research Dr
Manhattan, KS 66503-3049
Phone (785) 539-4644

Other practice location 1

2900 Amherst Ave Ste A
Manhattan, KS 66503-3046
Phone (785) 539-8700

Other names 1

  • Mid America Heart and Vascular Clinics, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000345 KS Part B Supplier - Clinic/Group Practice 3870742505 Receives reassigned benefits from 18 practitioners
Practice locations: Junction City, KS; Wamego, KS; Manhattan, KS; Council Grove, KS; Clay Center, KS; Abilene, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0960551Manhattan Medical Group Primary Care2900 Amherst Avenue, Manhattan, KS 66503Certificate of waiverApr 23, 2027

National Provider Directory

National Provider Directory

Locations

1104 W Ash St
Junction City, KS 66441
Phone (785) 236-7644

327 E Chestnut St
Junction City, KS 66441
Phone (785) 233-9643

1404 Beechwood Ter
Manhattan, KS 66502
Phone (785) 320-6774

1404 Beechwood Ter
Ste D
Manhattan, KS 66502
Phone (785) 236-1693

1404 Beechwood Ter
Ste Dn
Manhattan, KS 66502

409 Lincoln Ave
Wamego, KS 66547

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJDJBA

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1609138387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RESEARCH DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033049",
            "telephone_number": "785-539-4644",
            "fax_number": "785-539-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RESEARCH DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033049",
            "telephone_number": "785-539-4644",
            "fax_number": "785-539-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Amherst Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665033046",
            "country_code": "US",
            "telephone_number": "785-539-8700",
            "fax_number": "785-776-9788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANHATTAN MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "785-539-4644"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid America Heart and Vascular Clinics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.