Individual provider Active NPI

Manisha Upadhaya

  • Family Nurse Practitioner
  • Canonsburg, PA
National Provider Identifier
1750033809
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025595 Issued in PA
Practice address
2200 Hill Church Houston Rd
Canonsburg, PA 15317-1454
Phone
(724) 745-8000
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024197820 VA
Family Nurse Practitioner 363LF0000X 4030395 KY
Family Nurse Practitioner 363LF0000X 0038273 OH
Family Nurse Practitioner 363LF0000X 4704453277 MI
Family Nurse Practitioner 363LF0000X SP025595 PA Primary

Addresses

Primary practice location

2200 Hill Church Houston Rd
Canonsburg, PA 15317-1454

Mailing address

6136 170TH St Apt M4
Fresh Meadows, NY 11365-1957
Phone (718) 709-0940

Other practice location 1

460 S College St
Woodburn, KY 42170-9738
Phone (412) 253-3644

Other practice location 2

209 Merriman Rd
Akron, OH 44303-1904
Phone (412) 253-3644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, KY, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220518003064 PA Practitioner - Nurse Practitioner 6709263403 Reassigns benefits to 7 organizations
I20250129000816 KY Practitioner - Nurse Practitioner 6709263403 Reassigns benefits to 1 organization
I20250916001219 OH Practitioner - Nurse Practitioner 6709263403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Py Medical Services of PA PLLCGroup PAC ID 1658743158, 3 clinicians
Wound Med LLCGroup PAC ID 2769916915, 33 clinicians
CH Specialty Services PA PCGroup PAC ID 2567827157, 75 clinicians
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

2200 Hill Church Houston Rd
Canonsburg, PA 15317-1454
Phone (724) 745-8000

3550 Northfield Rd
Shaker Heights, OH 44122-5249
Phone (216) 752-5600

526 N Saint Cloud St
Suite 1601
Allentown, PA 18104-5041
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
692607PAMDRegistered Nurse
4030395KYMDNurse Practitioner
0038273OHMDNurse Practitioner
SP025595PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Pennsylvania PC CurrentSince Dec 9, 2025 Accepting new patients
Caremed Health Solutions of Kentucky, LLC CurrentSince Jan 21, 2025 Accepting new patients
Py Medical Services of PA PLLC CurrentSince Mar 1, 2024 Accepting new patients
Wound Med LLC CurrentSince Jul 6, 2025 Accepting new patients
Caremed PA PC Family CurrentSince Jun 23, 2025 Accepting new patients
Ahn Emergency Group of Jefferson LTD CurrentSince Feb 1, 2023 Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince Jan 16, 2024 Accepting new patients
Ahn Observation Group LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200

460 S College St
Woodburn, KY 42170
Phone (270) 529-2853

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

250 Skillman St
Ste 202
Brooklyn, NY 11205

526 N Saint Cloud St
#1601
Allentown, PA 18104

2200 Hill Church Houston Rd
#R
Canonsburg, PA 15317

2200 Hill Church Houston Rd
Canonsburg, PA 15317
Phone (724) 745-8000

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

1022 N Union St
Middletown, PA 17057
Phone (717) 944-0491

743 Mahoning St
Milton, PA 17847
Phone (570) 742-2681

7 E Locust St
Oxford, PA 19363
Phone (610) 998-2400

6216 Walnut St
Co Care Pavilion
Philadelphia, PA 19139
Phone (215) 476-6264

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1750033809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 170TH ST APT M4",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651957",
            "telephone_number": "718-709-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HILL CHURCH HOUSTON RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171454",
            "telephone_number": "724-745-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 S College St",
            "address_purpose": "LOCATION",
            "city": "Woodburn",
            "state": "KY",
            "postal_code": "421709738",
            "country_code": "US",
            "telephone_number": "412-253-3644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Merriman Rd",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443031904",
            "country_code": "US",
            "telephone_number": "412-253-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPADHAYA",
        "first_name": "MANISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024197820",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4030395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0038273",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704453277",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.