NPIMap

Individual provider Active NPI

Manjula Sharada Naik, MD

  • Internal Medicine Physician
  • Exton, PA
National Provider Identifier
1760650246
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD432878 Issued in PA
Practice address
860 Springdale Dr
Exton, PA 19341
Phone
(610) 524-3703
Fax
(610) 524-5990
NPI assigned
Feb 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD432878 PA
Internal Medicine Physician 207R00000X MD432878 PA Primary

Addresses

Primary practice location

860 Springdale Dr
Exton, PA 19341

Mailing address

860 Springdale Dr
Exton, PA 19341-2847
Phone (610) 524-3703

Other practice location 1

333 Cottman Ave
Fox Chase Cancer Center
Philadelphia, PA 19111-2434
Phone (215) 728-6900

Other practice location 2

860 Springdale Dr
Exton, PA 19341
Phone (610) 524-3703

Other identifiers 1

IdentifierTypeStateIssuer
102212470MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080512000612 PA Practitioner - NephrologyPractitioner - Internal Medicine 7214016591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Renal Associates LLCGroup PAC ID 6901881366, 33 clinicians

Practice addresses (Care Compare)

860 Springdale Dr
Suite 100
Exton, PA 19341-2834
Phone (610) 524-3703

Hospital & facility affiliations

  • DaVita Thorndale Dialysis Dialysis facility, Thorndale, PA, CCN 392522
  • USRC Coatesville Dialysis Dialysis facility, Coatesville, PA, CCN 392829
  • DaVita Westtown Dialysis Dialysis facility, West Chester, PA, CCN 392791
  • DaVita Coatesville Dialysis Dialysis facility, Coatesville, PA, CCN 392859
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
74.34
Promoting interoperability
100
Improvement activities
40
Cost
75.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432878PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Mar 1, 2008 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Mar 1, 2008 Accepting new patients
Clinical Renal Associates, LLC CurrentSince Jul 5, 2017 Accepting new patients

Locations

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

30 Medical Center Blvd
Ste 303
Chester, PA 19013

860 Springdale Dr
Exton, PA 19341
Phone (610) 524-3703

860 Springdale Dr
Ste 100
Exton, PA 19341
Phone (610) 524-3703

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

520 Maple Ave
Ste 3
West Chester, PA 19380
Phone (484) 364-2824

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
  • Direct secure messaging: manjula.naik.1@3389.direct.athenahealth.com

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.

Hospital & facility affiliations 12

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": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1760650246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 SPRINGDALE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412847",
            "telephone_number": "610-524-3703",
            "fax_number": "610-524-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SPRINGDALE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-524-3703",
            "fax_number": "610-524-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Cottman Ave",
            "address_2": "Fox Chase Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112434",
            "country_code": "US",
            "telephone_number": "215-728-6900",
            "fax_number": "215-728-3693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Springdale Dr",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "19341",
            "country_code": "US",
            "telephone_number": "610-524-3703",
            "fax_number": "610-524-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIK",
        "first_name": "MANJULA",
        "middle_name": "SHARADA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD432878",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102212470",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.