Active NPI
Farrin Alan Manian, M.D.,PHD
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 254493
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of Missouri, Columbia School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Internal Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | 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 | Past | 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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Internal Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Infectious Disease Physician
- Saint Louis, MO
- NPI 1902141641
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Family Medicine
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.