Prakash Maniam, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME134141 Issued in FL

Practice address

410 University Pkwy
Suite 1500B
Aiken, SC 29801-6810

Phone

(803) 643-7311

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, FL2 enrollments

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 2

Specialty

Urology

Education

Ohio State University College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Florida Physician Network LLCGroup PAC ID 5193895969, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oviedo Medical Center Hospital, Oviedo, FL, CCN 100329
• Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: prakash.maniam@hca4.eclinicaldirectplus.com

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.

• Central Florida Physician Network LLC

  • Urology Physician
  • Sanford, FL
  • NPI 1932375193
  Medicare reassignment Care Compare group NPD
• Augusta Primary Care Services, LLC

  • Specialist
  • Augusta, GA
  • NPI 1225225014
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Central Florida Regional Hospital, Inc

  • General Acute Care Hospital
  • Sanford, FL
  • NPI 1285681908
  Care Compare affiliation
• Oviedo Medical Center, LLC

  • General Acute Care Hospital
  • Oviedo, FL
  • NPI 1245785567
  Care Compare affiliation

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1922084433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 RED BUG LAKE RD STE 1010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656835",
            "telephone_number": "407-302-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "SUITE 1500B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016810",
            "telephone_number": "803-643-7311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 University Pkwy",
            "address_2": "Suite 1500B",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016810",
            "country_code": "US",
            "telephone_number": "803-643-7311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8400 Red Bug Lake Rd Ste 1010",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656835",
            "country_code": "US",
            "telephone_number": "407-302-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIAM",
        "first_name": "PRAKASH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "27620",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME134141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276203",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PRAKASH.MANIAM@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "8400 Red Bug Lake Rd Ste 1010",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327656835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alina Lynn Mahoney, RN
• Major Medical Supply and Healthcare Services
• Nikki Susanne Major
• Russell Major
• Dana Elaine Malloy, RN-FNP
• Monica Manigo-Johnson, D.O.
• Asifa Manzoor, MD
• Margaret'S Garden Adult Daycare LLC
• Christine Marino, ED.S.
• Mark D. Naquin MD PA

• Urology Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.

Verify at the official NPI Registry.