NPIMap

Individual provider Active NPI

Manav Jasrotia, MD

  • Internal Medicine Physician
  • Goodyear, AZ
National Provider Identifier
1801993910
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36067 Issued in AZ
Practice address
1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1214
Phone
(623) 935-9494
Fax
(623) 935-9292
NPI assigned
Sep 20, 2006
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 36067 AZ Primary

Addresses

Primary practice location

1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1214

Mailing address

1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1214
Phone (623) 935-9494

Other identifiers 4

IdentifierTypeStateIssuer
1801993910OtherAZBC/BS OF AZ
P00378917OtherTXRR MEDICARE
163235MedicaidAZ
8V1927OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000480 AZ Practitioner - Internal Medicine 0345240503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med-Cure Internal Medicine PLCGroup PAC ID 2668522665, 29 clinicians

Practice addresses (Care Compare)

1325 N Litchfield Rd
Suite 110
Goodyear, AZ 85395-1228
Phone (623) 935-9494

21250 W Roosevelt St
Suite 108
Buckeye, AZ 85326-3451
Phone (623) 935-9494

525 S Watson Rd
Suite 205
Buckeye, AZ 85326-3451
Phone (623) 935-9494

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development of West Phoenix Inc Past Accepting new patients
Ipn of Arizona, PLC Internal Medicine Past Accepting new patients
Apogee Medical Group Texas PA Internal Medicine PastSince Oct 8, 2023 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC PastSince Feb 19, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: manav.jasrotia@mcim.eclinicaldirectplus.com

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

Hospital & facility affiliations 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1801993910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951214",
            "telephone_number": "623-935-9494",
            "fax_number": "623-935-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N LITCHFIELD RD STE 110",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951214",
            "telephone_number": "623-935-9494",
            "fax_number": "623-935-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASROTIA",
        "first_name": "MANAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-02-15",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ",
            "identifier": "1801993910",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00378917",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163235",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V1927",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.