Active NPI
Anil John Mani, M.D.
- Interventional Cardiology Physician
- Paducah, KY
National Provider Identifier
1881688018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 52383
- Practice address
- 1532 Lone Oak Rd Ste 415
Paducah, KY 42003-7943 - Phone
- (270) 442-0103
- Fax
- (270) 442-2109
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 52383 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | 208114-1 | NY | |
| Interventional Cardiology Physician | 207RI0011X | 208114-1 | NY | |
| Interventional Cardiology Physician | 207RI0011X | 52383 | KY | Primary |
Addresses
Primary practice location
1532 Lone Oak Rd Ste 415
Paducah, KY 42003-7943
Mailing address
1532 Lone Oak Rd Ste 415
Paducah, KY 42003-7943
Phone (270) 442-0103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01867849 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Interventional Cardiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
613 23Rd St
Suite 230
Ashland, KY 41101-2868
Phone (606) 324-4745
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.67 of 100
- Quality
- 81.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 17 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208114-1 | NY | MD | Cardiovascular Disease Physician |
| 52383 | KY | MD | Interventional Cardiology Physician |
| TP097 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TJH Medical Services, P.C. | Past | Accepting new patients |
Interoperability endpoints
- amani605694@direct.bsmhealth.org
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1881688018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD STE 415",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037943",
"telephone_number": "270-442-0103",
"fax_number": "270-442-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD STE 415",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037943",
"telephone_number": "270-442-0103",
"fax_number": "270-442-2109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANI",
"first_name": "ANIL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "52383",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "208114-1",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "208114-1",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "52383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01867849",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.