Ludmil K Manov, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

49547781205 Issued in UT

Practice address

21 N 490 W
American Fork, UT 84003-2264

Phone

(801) 642-2396

Fax

(801) 642-2496

NPI assigned

Jul 20, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ludmil Manov MD PC

  • Psychiatry Physician
  • American Fork, UT
  • NPI 1275959546
  Medicare reassignment Authorized official
• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629098108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 490 W",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032264",
            "telephone_number": "801-642-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 490 W",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032264",
            "telephone_number": "801-642-2396",
            "fax_number": "801-642-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1387 S 1100 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84015",
            "country_code": "US",
            "telephone_number": "801-463-4963",
            "fax_number": "801-463-4643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOV",
        "first_name": "LUDMIL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "49547781205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Malone, MS, CCC-SLP
• Michelle Mander
• John Joseph Mangelson, M.D.
• Lori Pierce Mann, OTR/L
• Noah Mann
• Abygail Marble
• Mark Henry Radandt
• Mark T Saunders MD LC
• Marlan Hansen MD LLC
• Amber Dawn Martin, CSFA/CST

• Psychiatry Physician in American Fork, UT
• Providers in American Fork, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.