Individual provider Active NPI

Manisha Kia, D.O.

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1780793893
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015952 Issued in MI
Practice address
8423 Holly Rd
Grand Blanc, MI 48439-2487
Phone
(810) 579-0466
Fax
(810) 679-0470
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015952 MI Primary

Addresses

Primary practice location

8423 Holly Rd
Grand Blanc, MI 48439-2487

Mailing address

8423 Holly Rd
Grand Blanc, MI 48439-2487
Phone (810) 579-0466

Other identifiers 2

IdentifierTypeStateIssuer
5193572MedicaidMI
4626797MedicaidMI

Other names 1

  • Manisha Naran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000172 MI Practitioner - Family Practice 6709978901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

8423 Holly Rd
Suite a
Grand Blanc, MI 48439-2489
Phone (810) 579-0466

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015952MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesys Pho LLC CurrentSince Apr 3, 2018 Accepting new patients
Henry Ford Medical Group Genesys Family Medicine Current Accepting new patients
Henry Ford Medical Group Genesys Family Medicine CurrentSince Aug 21, 2018 Accepting new patients
Henry Ford Medical Group Genesys CurrentSince Aug 21, 2018 Accepting new patients
Elite Provider Group PC Family Medicine PastSince Aug 10, 2025 Accepting new patients

Locations

2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627

307 E Court St
Flint, MI 48502
Phone (810) 341-7370

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337

8483 Holly Rd
Grand Blanc, MI 48439
Phone (810) 694-4107

8423 Holly Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 579-0466

Interoperability endpoints

  • Direct secure messaging: manishakia@pmi.allscriptsdirect.net
  • Direct secure messaging: mkia1134643@direct.hfhs.org

Organizations & group practices 5

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 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1780793893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392487",
            "telephone_number": "810-579-0466",
            "fax_number": "810-679-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8423 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392487",
            "telephone_number": "810-579-0466",
            "fax_number": "810-679-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIA",
        "first_name": "MANISHA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5193572",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4626797",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANISHA",
            "last_name": "NARAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.