Individual provider Active NPI

Isis Flavia Manhart, M.D.

  • Internal Medicine Physician
  • Jupiter, FL
National Provider Identifier
1801168281
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME130976 Issued in FL
Practice address
1094 Military TRL
Jupiter, FL 33458
Phone
(616) 226-1115
Fax
(855) 215-9930
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME130976 FL Primary

Addresses

Primary practice location

1094 Military TRL
Jupiter, FL 33458

Mailing address

1094 Military TRL
Jupiter, FL 33458-7021
Phone (561) 622-6111

Other practice location 1

4700 N Congress Ave Ste 103
West Palm Beach, FL 33407-3284
Phone (561) 622-6111

Other identifiers 1

IdentifierTypeStateIssuer
024240900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181012002160 FL Practitioner - Internal Medicine 4981982691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hernando Pasco Primary Care LLCGroup PAC ID 0547231474, 88 clinicians

Practice addresses (Care Compare)

1094 Military TRL
Jupiter, FL 33458-7021
Phone (561) 622-6111

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Independant Ipa,LLC Past Accepting new patients
The Medical Group of South Florida, Inc Past Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

3465 Galt Ocean Dr
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-7775

1094 Military Trl
Jupiter, FL 33458
Phone (561) 622-6111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD

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 1

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1801168281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587021",
            "telephone_number": "561-622-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "616-226-1115",
            "fax_number": "855-215-9930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 N Congress Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073284",
            "country_code": "US",
            "telephone_number": "561-622-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANHART",
        "first_name": "ISIS",
        "middle_name": "FLAVIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME130976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024240900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.