Individual provider Active NPI

Shikaripur D Manjunath, M.D.,

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
National Provider Identifier
1699881649
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
K4140 Issued in TX
Practice address
5960 W Parker Rd Ste 278
PMB 121
Plano, TX 75093-7792
Phone
(469) 774-8442
Fax
(972) 747-1663
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X K4140 TX Primary

Addresses

Primary practice location

5960 W Parker Rd Ste 278
PMB 121
Plano, TX 75093-7792

Mailing address

5960 W Parker Rd Ste 278
PMB 121
Plano, TX 75093-7792
Phone (469) 774-8442

Other identifiers 2

IdentifierTypeStateIssuer
250014099OtherTXRAILROAD MEDICARE
0016JAOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040902001437 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 1557337391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Kikkeri International PAGroup PAC ID 1254359938, 5 clinicians

Practice addresses (Care Compare)

1001 Raintree Cir
Allen, TX 75013-4912
Phone (972) 908-2000

2301 Marsh LN
Plano, TX 75093-8497
Phone (972) 695-6658

3351 Waterview Pkwy
Encompass Rehabilitation Hospital of Richar
Richardson, TX 75080-1449
Phone (214) 699-9221

3865 Childress Ave
Suite a
Mesquite, TX 75150-2802

3865 Childress Ave
Suite a
Mesquite, TX 75150-2808
Phone (972) 681-7246

3865 Childress Ave a
Mesquite, TX 75150-2802

3931 Joe Ramsey Blvd E
Suite D
Greenville, TX 75401-7777
Phone (972) 681-7246

4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (214) 473-8822

5960 W Parker Rd
Suite 278 PMB 121
Plano, TX 75093-7792
Phone (214) 699-9221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.6 of 100Reported as group
Quality
89.59
Promoting interoperability
99
Improvement activities
40
Cost
73.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kikkeri International, PA Physical Medicine & Rehabilitation CurrentSince Oct 1, 2006 Accepting new patients
Shikaripur Manjunath, MD, PA Physical Medicine & Rehabilitation CurrentSince Mar 5, 2010 Accepting new patients
Valley PM&R Specialists, P.a. Physical Medicine & Rehabilitation Past Accepting new patients
Shahida Rafiq, MD Past Accepting new patients

Locations

1001 Raintree Cir
Allen, TX 75013
Phone (972) 898-9557

3931 Joe Ramsey Blvd E
Ste D
Greenville, TX 75401
Phone (903) 455-1234

5309 W University Dr
McKinney, TX 75071
Phone (972) 562-1018

3865 Childress Ave
Ste A
Mesquite, TX 75150
Phone (469) 554-0213

3865 Childress Ave
Ste B
Mesquite, TX 75150
Phone (318) 469-4470

5960 W Parker Rd
Ste 278
Plano, TX 75093
Phone (214) 699-9221

3351 Waterview Pkwy
Richardson, TX 75080
Phone (972) 398-5700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDGDAA

Organizations & group practices 4

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 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1699881649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 W PARKER RD STE 278",
            "address_2": "PMB 121",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937792",
            "telephone_number": "469-774-8442",
            "fax_number": "972-747-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 W PARKER RD STE 278",
            "address_2": "PMB 121",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937792",
            "telephone_number": "469-774-8442",
            "fax_number": "972-747-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJUNATH",
        "first_name": "SHIKARIPUR",
        "middle_name": "D",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K4140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250014099",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0016JA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.