Active NPI
Manjari Motaparthi, M.D.
- Neurology Physician
- Louisville, KY
National Provider Identifier
1962483602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 40998
- Practice address
- 3991 Dutchmans LN Ste 300
Louisville, KY 40207-4700 - Phone
- (502) 889-6782
- Fax
- (502) 899-6783
- NPI assigned
- Nov 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01061427 | IN | |
| Neurology Physician | 2084N0400X | 40998 | KY | Primary |
Addresses
Primary practice location
3991 Dutchmans LN Ste 300
Louisville, KY 40207-4700
Mailing address
PO Box 950202
Louisville, KY 40295-0202
Phone (502) 588-9490
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000553249 | Other | KY | ANTHEM - NNS |
| 196290DDDD | Other | IN | MEDICARE - NNS |
| 64119290 | Medicaid | KY | |
| 088968 | Other | KY | SIHO - NNS |
| 1606069 | Other | KY | CIGNA - NNS |
| 000023032V | Other | KY | HUMANA - NNS |
| 094759 | Other | KY | SIHO - CMA |
| 200838970 | Medicaid | IN | |
| 50020053 | Other | KY | PASSPORT - NNS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01061427 | IN | MD | Neurology Physician |
| 40998 | KY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1962483602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950202",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3991 DUTCHMANS LN STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074700",
"telephone_number": "502-889-6782",
"fax_number": "502-899-6783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTAPARTHI",
"first_name": "MANJARI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01061427",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "40998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NNS",
"identifier": "000000553249",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - NNS",
"identifier": "196290DDDD",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64119290",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NNS",
"identifier": "088968",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA - NNS",
"identifier": "1606069",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA - NNS",
"identifier": "000023032V",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - CMA",
"identifier": "094759",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200838970",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT - NNS",
"identifier": "50020053",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.