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

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (8 clinicians)
Wills Eye Ophthalmology Clinic, Inc (146 clinicians)

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 Hospital · Fargo, ND · CCN 350070
  • Advocate Trinity Hospital Hospital · Chicago, IL · CCN 140048

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100 (apm)
Quality
85.37
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
036.168749ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC Current
since Jan 23, 2026
Accepting new patients
Innovis Health LLC Current
since Jan 23, 2026
Accepting new patients
Midwest Eye Center Ophthalmology Current
since Aug 1, 2024
Accepting new patients
Dekalb Eye Consultants, LLC Ophthalmology Past
since Aug 1, 2024
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

  • Direct secure messaging: abhishek.manjunathanmd.p7@direct.hauserross.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2026.

{
    "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

All providers in Philadelphia, PA · Ophthalmology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.