Individual provider Active NPI

Manali A Shendrikar, MD

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1831131622
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A81070 Issued in CA
Practice address
2021 Santa Monica Blvd Ste 625E
Santa Monica, CA 90404
Phone
(310) 829-8948
Fax
(424) 212-5937
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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 A81070 CA Primary

Addresses

Primary practice location

2021 Santa Monica Blvd Ste 625E
Santa Monica, CA 90404

Mailing address

2021 Santa Monica Blvd Ste 625E
Santa Monica, CA 90404-2169
Phone (310) 829-8948

Other practice location 1

2001 Santa Monica Blvd
380W
Santa Monica, CA 90404-2102
Phone (310) 586-9002

Other practice location 2

901 Wilshire Blvd Fl 1
Santa Monica, CA 90401-1854
Phone (310) 829-8441

Other names 1

  • Manali Avinash Ayachit Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshendrikar473322@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040826000751 CA Practitioner - Family Practice 9234104084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians

Practice addresses (Care Compare)

2021 Santa Monica Blvd
Suite 625E
Santa Monica, CA 90404-2169
Phone (310) 829-8948

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

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
A81070CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Santa Monica Bay Area Physicians Family Medicine Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Locations

12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

901 Wilshire Blvd
Fl 1
Santa Monica, CA 90401
Phone (310) 829-8441

2021 Santa Monica Blvd
Ste 625E
Santa Monica, CA 90404
Phone (310) 453-8838

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mshendrikar473322@oc.providencedirect.org

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 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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1831131622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 625E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042169",
            "telephone_number": "310-829-8948",
            "fax_number": "424-212-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD STE 625E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-829-8948",
            "fax_number": "424-212-5937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Santa Monica Blvd",
            "address_2": "380W",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042102",
            "country_code": "US",
            "telephone_number": "310-586-9002",
            "fax_number": "310-586-9052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Wilshire Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904011854",
            "country_code": "US",
            "telephone_number": "310-829-8441",
            "fax_number": "424-212-5932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENDRIKAR",
        "first_name": "MANALI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A81070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshendrikar473322@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2021 Santa Monica Blvd Ste 625E",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MANALI",
            "last_name": "AYACHIT",
            "middle_name": "AVINASH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.