Individual provider Active NPI

Sunil Manjila, M.D

  • Neurological Surgery Physician
  • Ann Arbor, MI
National Provider Identifier
1912160409
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301109944 Issued in MI
Practice address
2641 Aspen Rd
Ann Arbor, MI 48108-9777
Phone
(216) 618-0461
NPI assigned
Jul 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301109944 MI Primary

Addresses

Primary practice location

2641 Aspen Rd
Ann Arbor, MI 48108-9777

Mailing address

2641 Aspen Rd
Ann Arbor, MI 48108-9777
Phone (216) 618-0461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160706001024 MI Practitioner - Neurosurgery 1557653904 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince May 2, 2024 Accepting new patients
Jawad a Shah MD PC CurrentSince Jul 1, 2022 Accepting new patients
Mendelson Orthopedics PC Current Accepting new patients
Jawad a Shah, MD PC Neurological Surgery CurrentSince Jul 1, 2022 Accepting new patients
Ann Arbor Neurosurgery PLLC CurrentSince Dec 10, 2024 Accepting new patients
Mendelson Orthopedics PC CurrentSince May 2, 2024 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

7684 Solutions Ctr
#777684
Chicago, IL 60677

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960

500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258

11900 E 12 Mile Rd
Ste 110
Warren, MI 48093
Phone (586) 261-1960

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1912160409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 ASPEN RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089777",
            "telephone_number": "216-618-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 ASPEN RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089777",
            "telephone_number": "216-618-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJILA",
        "first_name": "SUNIL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-06",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301109944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.