Active NPI
Nivedita Mankotia, M.D.
- Internal Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.127491
- Practice address
- 30 E Apple St
Suite 5254a
Dayton, OH 45409-2939 - Phone
- (937) 208-4200
- Fax
- (937) 208-4205
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.127491 | OH | Primary |
Addresses
Primary practice location
30 E Apple St
Suite 5254a
Dayton, OH 45409-2939
Mailing address
30 E Apple St
Suite 5254a
Dayton, OH 45409-2939
Phone (937) 208-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149804 | Medicaid | OH | |
| 03507760 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 E Apple St
Suite 5254a
Dayton, OH 45409-2939
Phone (937) 208-4200
Hospital & facility affiliations
- Miami Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Internal Medicine | Current | Accepting new patients |
| Miami Valley Hospital | Past | Accepting new patients |
Locations
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
30 E Apple St
Ste 5254A
Dayton, OH 45409
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1750501441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "SUITE 5254A",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-4200",
"fax_number": "937-208-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "SUITE 5254A",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-4200",
"fax_number": "937-208-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANKOTIA",
"first_name": "NIVEDITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.127491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149804",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03507760",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.