Individual provider Active NPI

Neil Manimala

  • Urology Physician
  • Riverview, FL
National Provider Identifier
1861847576
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME149267 Issued in FL
Practice address
6043 Winthrop Commerce Ave Ste 201
Riverview, FL 33578-4274
Phone
(813) 685-0827
Fax
(813) 685-0968
NPI assigned
May 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X ME149267 FL Primary

Addresses

Primary practice location

6043 Winthrop Commerce Ave Ste 201
Riverview, FL 33578-4274

Mailing address

6043 Winthrop Commerce Ave Ste 201
Riverview, FL 33578-4274
Phone (813) 685-0827

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
I20210520002515 FL Practitioner - Urology 3678972833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Urology Partners LLPGroup PAC ID 2062574924, 66 clinicians

Practice addresses (Care Compare)

6043 Winthrop Commerce Ave
Suite 201
Riverview, FL 33578-4274
Phone (813) 685-0827

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132
  • Adventhealth Riverview Hospital, Riverview, FL, CCN 100364
  • HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149267FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Urology Partners, LLP Urology CurrentSince Jun 1, 2021 Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Urology Partners LLP PastSince Nov 17, 2019 Accepting new patients
Tampa General Provider Network Inc Urology PastSince Jun 1, 2022 Accepting new patients

Locations

1142 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 677-8418

6043 Winthrop Commerce Ave
Ste 201
Riverview, FL 33578
Phone (813) 291-0629

5015 W Nassau St
Tampa, FL 33607
Phone (813) 356-0196

12408 N 56th St
Ste 1
Temple Terrace, FL 33617
Phone (813) 980-3104

16513 S US Highway 301
Wimauma, FL 33598
Phone (813) 356-0196

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: nmanimala192576@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

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 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": "1462060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1861847576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 WINTHROP COMMERCE AVE STE 201",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784274",
            "telephone_number": "813-685-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 WINTHROP COMMERCE AVE STE 201",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784274",
            "telephone_number": "813-685-0827",
            "fax_number": "813-685-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIMALA",
        "first_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-01",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME149267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.