Maanya LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MAANYA LLC

Doing business as

Western Kentucky Medical Group

Practice address

116 Main St
Cadiz, KY 42211-9163

Phone

(270) 350-4504

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harshul Amrut Patel, MDNPI 1427213842

Title

President

Phone

(270) 887-9066

Specialties & licenses 2

Addresses

Other names 1

• Western Kentucky Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609569664. Details of each certification follow.

• CCN B03940 Rural health clinic · Active · Details

Rural health clinic certification: CCN B03940

Legal name

MAANYA LLC

Doing business as

WESTERN KENTUCKY MEDICAL GROUP

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jan 8, 2024

Last certification

Jan 8, 2024

Ownership / control type

1C

Organization structure

LLCProprietary

Incorporated

Jul 16, 2015 in KY

Enrollment address

116 Main St
Cadiz, KY 42211-9163

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Maanya LLC

  dba Trigg County Medical Clinic

  • Family Medicine Physician
  • Cadiz, KY
  • NPI 1326424177

  5092016824

  Same PAC ID
• Maanya LLC

  dba Western Kentucky Medical Group

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1417640483

  5092016824

  Same PAC ID
• Maanya LLC

  dba Western Kentucky Medical Group

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1609655364

  5092016824

  Same PAC ID

Tax ID family

Maanya LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Maanya LLC

  dba Trigg County Medical Clinic

  • Family Medicine Physician
  • Cadiz, KY
  • NPI 1326424177
  NPD tax ID
• Maanya LLC

  dba Western Kentucky Medical Group

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1417640483
  NPD tax ID
• Maanya LLC

  • Internal Medicine Physician
  • Princeton, KY
  • NPI 1518810068
  NPD tax ID
• Maanya LLC

  dba Western Kentucky Medical Group

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1609655364
  NPD tax ID
• Maanya LLC

  • Internal Medicine Physician
  • Hopkinsville, KY
  • NPI 1790317162
  NPD tax ID
• Maanya LLC

  dba Western Kentucky Medical Group

  • Family Medicine Physician
  • Hopkinsville, KY
  • NPI 1851070031
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Harshul Amrut Patel, M.D.

  • Internal Medicine Physician
  • Hopkinsville, KY
  • NPI 1427213842

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Vaishali Harshul Patel, MD

  • Family Medicine Physician
  • Cadiz, KY
  • NPI 1942437603

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 2

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.

• Harshul Amrut Patel, M.D.

  • Internal Medicine Physician
  • Hopkinsville, KY
  • NPI 1427213842
  NPD (past) Authorized official
• Vaishali Harshul Patel, MD

  • Family Medicine Physician
  • Cadiz, KY
  • NPI 1942437603
  NPD (past)

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1609569664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1580",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422111580",
            "telephone_number": "270-350-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119163",
            "telephone_number": "270-350-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAANYA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHUL",
        "authorized_official_middle_name": "AMRUT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-887-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Kentucky Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keystone Chiropractic and Family Wellness, LLC (Keystone Family Chiropractic)
• McKenzie Kunnecke
• Nancy Rebecca Litchfield, PTA
• Brian Matthew Lixey, DDS
• Maanya LLC (Trigg County Medical Clinic)
• Bruce W. Martin, O.D.
• Holly A McCormick, APRN
• Erin McCraw
• MCS Pharmaceutics LLC
• Veronica Milburn, FNP-BC

• Rural Health Clinic/Center in Cadiz, KY
• Providers in Cadiz, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.