Active NPI
Manika Bhateja, M.D
- Pediatrics Physician
- Lakeville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 70561
- Practice address
- 18580 Joplin Ave
Lakeville, MN 55044-4218 - Phone
- (952) 892-9555
- NPI assigned
- Jul 14, 2009
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301094895 | MI | |
| Pediatrics Physician | 208000000X | 036-130722 | IL | |
| Pediatrics Physician | 208000000X | 70561 | MN | Primary |
Addresses
Primary practice location
18580 Joplin Ave
Lakeville, MN 55044-4218
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (776) 696-7150
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036130722 | Other | IL | IL PHYSICIAN LICENSE |
| 036130722 | Medicaid | IL | |
| 070 | Other | IL | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Pediatric Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18580 Joplin Ave
Lakeville, MN 55044-4218
Phone (952) 892-9500
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 91.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-130722 | IL | MD | Pediatrics Physician |
| 4301094895 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients | |
| Fairview Express Care | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
18580 Joplin Ave
Lakeville, MN 55044
Phone (952) 892-9500
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
4151 Willowwood St SE
Prior Lake, MN 55372
Phone (952) 226-2600
Interoperability endpoints
- mbhateja704044@fairview.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
dba Fairview Clinics-Uptown
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1447442132
-
- Eyewear Supplier
- Eagan, MN
- NPI 1811448210
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba Fairview Clinics-Maple Grove
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
-
- Eyewear Supplier
- Fridley, MN
- NPI 1942482740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1902035777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866",
"telephone_number": "776-696-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18580 JOPLIN AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444218",
"telephone_number": "952-892-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATEJA",
"first_name": "MANIKA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2023-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301094895",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-130722",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "70561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL PHYSICIAN LICENSE",
"identifier": "036130722",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036130722",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "070",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
- Better Care Consultants LLC
- Brian Dean Betts, DC
- Betzina Clinics , LLC (Alpha Spine Health & Injury Center)
- Ryan M. Betzina, D.C.
- Avery Beyer
- Claire Gabriel Bias
- Melissa Bielefeld, LGSW, MSW
- Bio-Medical Applications of Minnesota, Inc. (Fresenius Medical Care Lakeville)
- Erin Bird, LMFT
- Stacie Bistodeau
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.