Individual provider Active NPI

Farrin Alan Manian, M.D.,PHD

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1659480283
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254493 Issued in MA
Practice address
50 Staniford Street
S50-503B
Boston, MA 02114-2696
Phone
(617) 643-0604
Fax
(617) 724-9428
NPI assigned
Aug 29, 2006
Last updated
Jun 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R4F74 MO
Internal Medicine Physician 207R00000X R4F74 MO
Internal Medicine Physician 207R00000X 254493 MA Primary

Addresses

Primary practice location

50 Staniford Street
S50-503B
Boston, MA 02114-2696

Mailing address

50 Staniford Street
S50-503B
Boston, MA 02114-2696
Phone (617) 643-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100920000443 MO Practitioner - Infectious DiseasePractitioner - Internal Medicine 4082713243 Reassigns benefits to 2 organizations
I20130808000133 MA Practitioner - HospitalistPractitioner - Internal Medicine 4082713243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Adult Hospitalists - St. Louis, LLCGroup PAC ID 6002809944, 139 clinicians

Practice addresses (Care Compare)

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2013 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC Internal Medicine CurrentSince Oct 4, 2020 Accepting new patients
Mercy Hospitals East Communities CurrentSince Nov 4, 2020 Accepting new patients
Mercy Hospitals East Communities CurrentSince Nov 4, 2020 Accepting new patients
Mercy Hospitals East Communities Family Medicine Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Mercy Clinic Infectious Disease LLC PastSince Dec 14, 2013 Accepting new patients

Locations

50 Staniford St
#S50503B
Boston, MA 02114
Phone (617) 643-0604

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

621 S New Ballas Rd
Ste 112A
Saint Louis, MO 63141
Phone (314) 251-6339

621 S New Ballas Rd
Ste 70
Saint Louis, MO 63141
Phone (314) 251-4769

621 S New Ballas Rd
Ste 7018B
Saint Louis, MO 63141
Phone (314) 251-4949

621 S New Ballas Rd
Ste 70B
Saint Louis, MO 63141
Phone (314) 251-5700

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1659480283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD STREET",
            "address_2": "S50-503B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-643-0604",
            "fax_number": "617-724-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD STREET",
            "address_2": "S50-503B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-643-0604",
            "fax_number": "617-724-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIAN",
        "first_name": "FARRIN",
        "middle_name": "ALAN",
        "credential": "M.D.,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R4F74",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R4F74",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "254493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.