Active NPI
Maanya LLC
Doing business as Western Kentucky Medical Group
- Rural Health Clinic/Center
- Hopkinsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MAANYA LLC
- Doing business as
- Western Kentucky Medical Group
- Practice address
- 1721 Canton St
Hopkinsville, KY 42240-1991 - Phone
- (270) 632-4525
- Fax
- (270) 632-4526
- NPI assigned
- Sep 22, 2023
- Last updated
- Sep 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harshul Amrut Patel, M.D.
- Title
- Member
- Phone
- (270) 632-4525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
1721 Canton St
Hopkinsville, KY 42240-1991
Mailing address
1721 Canton St
Hopkinsville, KY 42240-1991
Phone (270) 632-4525
Other names 1
- Western Kentucky Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231006000526 | KY | Part A Provider - Rural Health Clinic | 5092016824 | Practice locations: Hopkinsville, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609655364. Details of each certification follow.
Rural health clinic certification: CCN B03949
- Legal name
- MAANYA LLC
- Doing business as
- WESTERN KENTUCKY MEDICAL GROUP
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 9, 2024
- Last certification
- Jan 9, 2024
- Ownership / control type
- 1C
- Organization structure
- LLC
- Incorporated
- Jul 16, 2015 in KY
- Enrollment address
- 1721 Canton St
Hopkinsville, KY 42240-1991
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Trigg County Medical Clinic
- Family Medicine Physician
- Cadiz, KY
- NPI 1326424177
5092016824
-
dba Western Kentucky Medical Group
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1417640483
5092016824
-
dba Western Kentucky Medical Group
- Rural Health Clinic/Center
- Cadiz, KY
- NPI 1609569664
5092016824
National Provider Directory
National Provider Directory- Tax ID family
- Maanya LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Western Kentucky Medical Group
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1417640483
-
- Internal Medicine Physician
- Princeton, KY
- NPI 1518810068
-
- Internal Medicine Physician
- Hopkinsville, KY
- NPI 1790317162
-
dba Western Kentucky Medical Group
- Family Medicine Physician
- Hopkinsville, KY
- NPI 1851070031
Locations
323 S Jefferson St
Ste C
Princeton, KY 42445
Phone (270) 350-4504
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Harshul Patel | 5% Or Greater Direct Ownership Interest | Jul 16, 2015 | 50% |
| Corporate Officer | Jul 16, 2015 | ||
| Operational/Managerial Control | Jul 16, 2015 | ||
| Vaishali H Patel | 5% Or Greater Direct Ownership Interest | Jul 16, 2015 | 50% |
| Corporate Officer | Jul 16, 2015 | ||
| Operational/Managerial Control | Jul 16, 2015 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Hopkinsville, KY
- NPI 1427213842
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
-
- Family Medicine Physician
- Cadiz, KY
- NPI 1942437603
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 14
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.
-
- Internal Medicine Physician
- Hopkinsville, KY
- NPI 1427213842
-
- Family Nurse Practitioner
- Russellville, KY
- NPI 1730047929
-
- Psychiatric/Mental Health Nurse Practitioner
- Madisonville, KY
- NPI 1710665385
Single Specialty
-
- Family Nurse Practitioner
- Hopkinsville, KY
- NPI 1326750399
-
- Nurse Practitioner
- Hopkinsville, KY
- NPI 1982252748
-
- Family Nurse Practitioner
- Princeton, KY
- NPI 1346311172
-
- Family Nurse Practitioner
- Madisonville, KY
- NPI 1669134086
-
- Family Medicine Physician
- Cadiz, KY
- NPI 1942437603
-
- Primary Care Nurse Practitioner
- Gracey, KY
- NPI 1326696907
-
- Psychiatric/Mental Health Nurse Practitioner
- Hopkinsville, KY
- NPI 1275410458
-
- Family Nurse Practitioner
- Cadiz, KY
- NPI 1215726195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695340800000",
"number": "1609655364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 CANTON ST",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422401991",
"telephone_number": "270-632-4525",
"fax_number": "270-632-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 CANTON ST",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422401991",
"telephone_number": "270-632-4525",
"fax_number": "270-632-4526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAANYA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HARSHUL",
"authorized_official_middle_name": "AMRUT",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "270-632-4525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"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"
}
]
}Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.