Individual provider Active NPI

Sanjeev V. Maniar, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1851352181
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME132282 Issued in FL
Practice address
12670 Whitehall Dr
Fort Myers, FL 33907-3619
Phone
(239) 936-3554
Fax
(239) 936-8993
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01053038 IN
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME132282 FL Primary

Addresses

Primary practice location

12670 Whitehall Dr
Fort Myers, FL 33907-3619

Mailing address

12670 Whitehall Dr
Fort Myers, FL 33907-3619
Phone (239) 936-3664

Other practice location 1

9250 Columbia Ave
Suite C1
Munster, IN 46321-3530
Phone (219) 836-0039

Other identifiers 4

IdentifierTypeStateIssuer
200306020AMedicaidIN
021302400MedicaidFL
90001187OtherILBLUE SHIELD OF IL
JA561ZOtherFLMEDICARE

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
I20170811003071 FL Practitioner - Neurology 7719967363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Neurology Group P LGroup PAC ID 0840286407, 8 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

12670 Whitehall Dr
Fort Myers, FL 33907-3619
Phone (941) 936-3554

4316 Lee Blvd
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

Hospital & facility affiliations

  • Amity Associates LLC Home health agency, Fort Myers, FL, CCN 687248
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

Merit-based Incentive Payment System (MIPS)

Final score
92.73 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
71.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Neurology Group P L Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Florida Neurology Group Single Specialty Past Accepting new patients
Mridula Prasad MD PC Single Specialty Past Accepting new patients

Locations

1003 Del Prado Blvd S
Ste 202
Cape Coral, FL 33990
Phone (239) 574-4242

12670 Whitehall Dr
Fort Myers, FL 33907
Phone (239) 936-3554

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 4

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851352181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 WHITEHALL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073619",
            "telephone_number": "239-936-3664",
            "fax_number": "239-936-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 WHITEHALL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073619",
            "telephone_number": "239-936-3554",
            "fax_number": "239-936-8993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 Columbia Ave",
            "address_2": "Suite C1",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213530",
            "country_code": "US",
            "telephone_number": "219-836-0039",
            "fax_number": "219-836-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIAR",
        "first_name": "SANJEEV",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01053038",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME132282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200306020A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021302400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IL",
            "identifier": "90001187",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JA561Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.