Active NPI
Sanjeev V. Maniar, M.D.
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME132282
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01053038 | IN | |
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200306020A | Medicaid | IN | |
| 021302400 | Medicaid | FL | |
| 90001187 | Other | IL | BLUE SHIELD OF IL |
| JA561Z | Other | FL | MEDICARE |
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
Enrollment records 1
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
- Physiotherapy Associates Inc
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
- Cape Coral Hospital
- Lee Memorial Hospital
- Gulf Coast Medical Center Lee Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.73 of 100
- Quality
- 97.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Neurology Group P L | Single Specialty | Current | 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.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1144862277
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.