Abhishek Manjunathan, MD
Individual provider Active NPI Ophthalmology Physician · Philadelphia, PA
NPI 1780211698 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1780211698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- MD493506 (PA)
- Practice address
- 840 Walnut St Ste 920
Philadelphia, PA 19107-5180 - Phone
- (215) 928-3180
- Fax
- (215) 928-3854
- NPI assigned
- Mar 23, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of Michigan Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Eye Center
Wills Eye Ophthalmology Clinic, Inc
Practice addresses (Care Compare)
1700 E W Rd
Calumet City, IL 60409-5415
Phone (708) 891-3330
840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041
Hospital & facility affiliations
- Essentia Health
- Advocate Trinity Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.02 of 100
- Quality
- 85.37
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 36 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IL, ND, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241105002672 | IL | Practitioner - Ophthalmology | 7618390618 | Reassigns benefits to 1 organization |
| I20260127002028 | ND | Practitioner - Ophthalmology | 7618390618 | Reassigns benefits to 1 organization |
| I20260520000348 | PA | Practitioner - Ophthalmology | 7618390618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.168749 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health LLC | Current |
Accepting new patients | |
| Innovis Health LLC | Current |
Accepting new patients | |
| Midwest Eye Center | Ophthalmology | Current |
Accepting new patients |
| Dekalb Eye Consultants, LLC | Ophthalmology | Past |
Accepting new patients |
Locations
1700 E West Rd
Calumet City, IL 60409
Phone (708) 891-3330
2315 E 93rd St
Ste 400
Chicago, IL 60617
Phone (773) 374-1114
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
Interoperability endpoints
- abhishek.manjunathanmd.p7@direct.hauserross.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD493506 | PA | Yes |
| Cornea and External Diseases Specialist Physician | 207WX0120X | MD493506 | PA |
Addresses
Primary practice location
840 Walnut St Ste 920
Philadelphia, PA 19107-5180
Mailing address
840 Walnut St Ste 920
Philadelphia, PA 19107-5180
Phone (215) 928-3180
NPI Registry JSON
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1780211698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 WALNUT ST STE 920",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075180",
"telephone_number": "215-928-3180",
"fax_number": "215-928-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 WALNUT ST STE 920",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075180",
"telephone_number": "215-928-3180",
"fax_number": "215-928-3854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANJUNATHAN",
"first_name": "ABHISHEK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD493506",
"primary": true
},
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "PA",
"license": "MD493506",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Beth Manin
- Lisa Manitta
- Mario Cesar Manjarrez Linares
- Amit Koushik Manjunath
- Rajashri Manjunath
- Mankad Dental Associates PC
- David Abraham Mankoff
- Alecia Manley
- Christopher J Manley
- Kristen Jennifer Manley
All providers in Philadelphia, PA · Ophthalmology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.