Individual provider Active NPI

Abhishek Manjunathan, MD

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1780211698
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD493506 Issued in 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
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD493506 PA Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, ND, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

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

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye CenterGroup PAC ID 3375525645, 8 clinicians
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 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

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as apm
Quality
85.37
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD493506PAMDCornea and External Diseases Specialist Physician

Practice roles

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

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-4222

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.