NPIMap

Individual provider Active NPI

Maneesh C. Kanal, MD

  • Internal Medicine Physician
  • Crookston, MN
National Provider Identifier
1700271012
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
63484 Issued in MN
Practice address
323 S Minnesota St
Crookston, MN 56716
Phone
(218) 281-9293
NPI assigned
Apr 2, 2015
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 63484 MN Primary
General Practice Physician 208D00000X 63484 MN
Hospitalist Physician 208M00000X 63484 MN

Addresses

Primary practice location

323 S Minnesota St
Crookston, MN 56716

Mailing address

323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20180820003618 MN Practitioner - Internal Medicine 6608173158 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Avera TylerGroup PAC ID 9638088537, 15 clinicians
Avera Granite FallsGroup PAC ID 1456784560, 15 clinicians

Practice addresses (Care Compare)

109 E Lake Benton St
Lake Benton, MN 56149-1309
Phone (507) 368-4323

240 Willow St
Tyler, MN 56178-1201
Phone (507) 247-5521

345 10TH Ave
Granite Falls, MN 56241-1442
Phone (320) 564-3111

345 10TH Ave
Granite Falls, MN 56241-1499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
88.07
Promoting interoperability
100
Improvement activities
40
Cost
74.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Tyler CurrentSince Jul 21, 2025 Accepting new patients
Avera Marshall CurrentSince Nov 1, 2025 Accepting new patients
Avera Marshall CurrentSince Nov 1, 2025 Accepting new patients
Avera Granite Falls Current Accepting new patients
Avera Tyler Current Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Avera Marshall CurrentSince Nov 1, 2025 Accepting new patients
Granite Falls Municipal Hospital and Manor Past Accepting new patients

Locations

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

345 10th Ave
Granite Falls, MN 56241
Phone (320) 564-3111

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

Interoperability endpoints

  • Direct secure messaging: maneesh.kanal@avera.sdhealthlink.net

Organizations & group practices 9

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 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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1700271012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "218-281-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "56716",
            "telephone_number": "218-281-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAL",
        "first_name": "MANEESH",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "63484",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "63484",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "63484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crookston, MN

Sources for this page

Verify at the official NPI Registry.