Active NPI
Mani S Kavuru, MD
- Pulmonary Disease Physician
- Philadelphia, PA
National Provider Identifier
1962486357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD440719
- Practice address
- 834 Walnut St
Suite 650
Philadelphia, PA 19107-5109 - Phone
- (215) 955-5161
- Fax
- (215) 923-6003
- NPI assigned
- Nov 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 200501043 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 200501043 | NC | |
| Pulmonary Disease Physician | 207RP1001X | MD440719 | PA | Primary |
Addresses
Primary practice location
834 Walnut St
Suite 650
Philadelphia, PA 19107-5109
Mailing address
834 Walnut St
Suite 650
Philadelphia, PA 19107-5109
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0243621 | Medicaid | NJ | |
| 001567629 | Medicaid | PA | |
| 140P4 | Other | NC | BCBS NC |
| 5901907 | Medicaid | NC |
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 |
|---|---|---|---|
| 200501043 | NC | MD | Pulmonary Disease Physician |
Interoperability endpoints
- mani.kavuru@398008301912068.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1962486357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 WALNUT ST",
"address_2": "SUITE 650",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 WALNUT ST",
"address_2": "SUITE 650",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075109",
"telephone_number": "215-955-5161",
"fax_number": "215-923-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVURU",
"first_name": "MANI",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "200501043",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "200501043",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD440719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0243621",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001567629",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "140P4",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901907",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.