Manish Dimri MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M5134 Issued in TX

Legal business name

MANISH DIMRI MD PA

Practice address

4817 Rangewood
Midland, TX 79707-2630

Phone

(432) 559-4657

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Manish Dimri, M.D.NPI 1609823111

Title

President

Phone

(432) 559-4657

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7097/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manish Dimri, MD

  • Internal Medicine Physician
  • Odessa, TX
  • NPI 1609823111
  Medicare reassignment NPD Authorized official
• Sheri L Mayo, PA-C

  • Physician Assistant
  • Midland, TX
  • NPI 1942538327
  Medicare reassignment
• Vandana Naithani, M.D.

  • Family Medicine Physician
  • Midland, TX
  • NPI 1912180241
  Medicare reassignment
• Abulbasher M Faizullah, MD

  • Family Medicine Physician
  • Midland, TX
  • NPI 1467478636
  NPD (past)
• Elizabeth Jaynes Vitulli, FNP-BC

  • Family Medicine Physician
  • Midland, TX
  • NPI 1811725617
  NPD (past)
• Alma Zamora

  • Physician Assistant
  • Midland, TX
  • NPI 1053194605
  NPD (past)

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1740552736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 RANGEWOOD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072630",
            "telephone_number": "432-559-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 RANGEWOOD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072630",
            "telephone_number": "432-559-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISH DIMRI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "DIMRI",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-559-4657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M5134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varsha Vintu Maliyil, PA-S
• David J Mallams, M.D.
• Victoria Jade Mallett
• Manmeet Mangat, MD
• Crissy Mangum, APRN, FNP-C
• Bradley William Mankin, PA-S
• Erin Nicole Mann, APRN, FNP-C
• Symreet Mann
• Manor Park, Inc
• Mansfield Legacy Chiropractic Care LLC

• Internal Medicine Physician in Midland, TX
• Providers in Midland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.