NPIMap

Individual provider Active NPI

Manjeet Geeta, M.D.

  • Family Medicine Physician
  • Portage, IN
National Provider Identifier
1811949035
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01062217A Issued in IN
Practice address
6375 US Highway 6
Portage, IN 46368-5111
Phone
(219) 762-3196
Fax
(219) 763-6438
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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 01062217A IN Primary

Addresses

Primary practice location

6375 US Highway 6
Portage, IN 46368-5111

Mailing address

6375 US Highway 6 Ste a
Portage, IN 46368-5217
Phone (219) 762-3196

Other practice location 1

7835 Grand Blvd
Hobart, IN 46342-6638
Phone (219) 769-2258

Other identifiers 1

IdentifierTypeStateIssuer
200823540MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060705000142 IN Practitioner - Family Practice 5890717011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians
Chhabra Medical Corporation PCGroup PAC ID 8729045786, 4 clinicians

Practice addresses (Care Compare)

425 Sand Creek Dr
Chesterton, IN 46304-1589

6375 US Hwy 6
Portage, IN 46368-5217
Phone (219) 762-3196

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062217AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chhabra Medical Corporation PC Family Medicine Current Accepting new patients
Chhabra Medical Corporation PC Family Medicine CurrentSince Jun 9, 2006 Accepting new patients

Locations

7835 Grand Blvd
Hobart, IN 46342
Phone (219) 769-2258

6375 US Highway 6
Portage, IN 46368
Phone (219) 762-3196

6375 US Highway 6
Ste A
Portage, IN 46368

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 8

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1811949035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 US HIGHWAY 6 STE A",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685217",
            "telephone_number": "219-762-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 US HIGHWAY 6",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685111",
            "telephone_number": "219-762-3196",
            "fax_number": "219-763-6438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7835 Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463426638",
            "country_code": "US",
            "telephone_number": "219-769-2258",
            "fax_number": "219-769-2743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEETA",
        "first_name": "MANJEET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01062217A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200823540",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.