NPIMap

Individual provider Active NPI

Manoj H Majmudar, MD

  • Pulmonary Disease Physician
  • Hopkinsville, KY
National Provider Identifier
1659336097
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
27028 Issued in KY
Practice address
1724 Kenton St
Suite 1B
Hopkinsville, KY 42240-1981
Phone
(270) 886-8840
Fax
(270) 886-8869
NPI assigned
Apr 19, 2006
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27028 KY
Pulmonary Disease Physician 207RP1001X 27028 KY Primary

Addresses

Primary practice location

1724 Kenton St
Suite 1B
Hopkinsville, KY 42240-1981

Mailing address

1724 Kenton St
Suite 1B
Hopkinsville, KY 42240-1981
Phone (270) 886-8840

Other identifiers 1

IdentifierTypeStateIssuer
64270283MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20041118000661 KY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 7113981168 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Hopkinsville Family Care PSCGroup PAC ID 1759642432, 3 clinicians
Crofton Clinic PSCGroup PAC ID 8729357983, 4 clinicians
Elkton Clinic PSCGroup PAC ID 5597952861, 2 clinicians

Practice addresses (Care Compare)

1724 Kenton St
Suite 1B
Hopkinsville, KY 42240-1981
Phone (270) 886-8840

1914 S Virginia St
Hopkinsville, KY 42240-3610
Phone (270) 220-0366

241 S Madisonville St
Crofton, KY 42217-8009
Phone (270) 220-0240

713 W Main St
Elkton, KY 42220-9229
Phone (270) 265-5653

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27028KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crofton Clinic PSC Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Elkton Clinic PSC Internal Medicine CurrentSince Jun 9, 2010 Accepting new patients
Telos Health Systems Ky LLC Internal Medicine CurrentSince Feb 25, 2020 Accepting new patients
Oh Muhlenberg, LLC Current Accepting new patients
Hopkinsville Family Care PSC CurrentSince Mar 1, 2018 Accepting new patients
Oh Muhlenberg, LLC Pulmonary Disease CurrentSince Jun 26, 2018 Accepting new patients
Princeton Ky Opco LLC Past Accepting new patients
Russellville Ky Opco LLC Past Accepting new patients
Greenville Nursing and Rehabilitation LLC Past Accepting new patients
Jennie Stuart Medical Center Inc PastSince Jul 1, 2017 Accepting new patients
Christian Care Communities, Inc. Past Accepting new patients
Pembroke Operating Company LLC Past Accepting new patients
Hopkinsville Ky Opco LLC Past Accepting new patients
Fairview Physicians Network LLC Internal Medicine PastSince Jan 1, 2017 Accepting new patients

Locations

3450 Oakton St
Ste 300
Skokie, IL 60076

101 Legion Dr
Central City, KY 42330
Phone (270) 754-5400

241 S Madisonville St
Crofton, KY 42217
Phone (270) 220-0240

713 W Main St
Elkton, KY 42220
Phone (270) 265-5353

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1914 S Virginia St
Hopkinsville, KY 42240
Phone (270) 220-0366

3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403

1333 W Main St
Princeton, KY 42445
Phone (270) 365-3541

Interoperability endpoints

  • Direct secure messaging: manoj.majmudar@glacecentral.com
  • Direct secure messaging: mmajmudar42922@direct.owensborohealth.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Creekwood Nursing & RehabilitationRussellville, KY, CCN 185313 Skilled nursing facility Contracted Managing Employee Apr 1, 2023
Elkton Clinic PSCElkton, KY, CCN 188908 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Jun 9, 2010
Jun 9, 2010
Jun 9, 2010
Jun 9, 2010
Crofton Clinic PSCCrofton, KY, CCN 188963 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Officer
W-2 Managing Employee		 Jun 1, 2016
Jun 1, 2016
Jun 1, 2016
Hopkinsville Family Care PSCHopkinsville, KY, CCN 188980 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee		 Mar 1, 2018
Mar 1, 2018

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Crofton Clinic PSC
    • Rural Health Clinic/Center
    • Crofton, KY
    • NPI 1194253245

    5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership
  • Elkton Clinic PSC
    • Internal Medicine Physician
    • Elkton, KY
    • NPI 1457667461

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

    CMS ownership
  • Hopkinsville Family Care PSC
    • Rural Health Clinic/Center
    • Hopkinsville, KY
    • NPI 1760980544

    5% Or Greater Direct Ownership Interest, W-2 Managing Employee

    CMS ownership
  • Russellville Ky Opco LLC

    dba Creekwood Nursing & Rehabilitation

    • Skilled Nursing Facility
    • Russellville, KY
    • NPI 1346890878

    Contracted Managing Employee

    CMS ownership

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1659336097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 KENTON ST",
            "address_2": "SUITE 1B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401981",
            "telephone_number": "270-886-8840",
            "fax_number": "270-886-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 KENTON ST",
            "address_2": "SUITE 1B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401981",
            "telephone_number": "270-886-8840",
            "fax_number": "270-886-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJMUDAR",
        "first_name": "MANOJ",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "27028",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "27028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64270283",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.