Active NPI
Pius Manavalan, MD
- Nephrology Physician
- Hamilton, OH
National Provider Identifier
1972576569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35-08-0215M
- Practice address
- 3090 McBride CT, Suite B
Hamilton, OH 45011 - Phone
- (513) 863-8212
- Fax
- (513) 863-8379
- NPI assigned
- Feb 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35-08-0215M | OH | Primary |
Addresses
Primary practice location
3090 McBride CT, Suite B
Hamilton, OH 45011
Mailing address
3090 McBride CT, Suite B
Hamilton, OH 45011
Phone (513) 863-8212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2288171 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Assoc of SW Ohio Inc | Nephrology | Current | Accepting new patients |
| Nephrology Associates of Southwestern Ohio, Inc | Nephrology | Current | Accepting new patients |
| Tyler Emergency Physicians | Past | Accepting new patients |
Locations
2960 Mack Rd
Ste 203
Fairfield, OH 45014
Phone (513) 791-6099
3090 McBride Ct
Ste B
Hamilton, OH 45011
Phone (513) 863-8212
Interoperability endpoints
- https://api.platform.athenahealth.com/1048/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Nephrology Physician
- Hamilton, OH
- NPI 1134192727
-
- Nephrology Physician
- Cincinnati, OH
- NPI 1144482043
-
- Emergency Medicine Physician
- West Memphis, AR
- NPI 1669416384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1972576569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 MCBRIDE CT, SUITE B",
"city": "HAMILTON",
"state": "OH",
"postal_code": "45011",
"telephone_number": "513-863-8212",
"fax_number": "513-863-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 MCBRIDE CT, SUITE B",
"city": "HAMILTON",
"state": "OH",
"postal_code": "45011",
"telephone_number": "513-863-8212",
"fax_number": "513-863-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANAVALAN",
"first_name": "PIUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35-08-0215M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2288171",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.