Active NPI
Manjaree Daw, MD
- Internal Medicine Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME160719
- Practice address
- 10080 SW Innovation Way
Port St Lucie, FL 34987-2127 - Phone
- (407) 580-5052
- Fax
- (407) 580-5052
- NPI assigned
- Dec 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME160719 | FL | Primary |
Addresses
Primary practice location
10080 SW Innovation Way
Port St Lucie, FL 34987-2127
Mailing address
10080 SW Innovation Way
Port St Lucie, FL 34987-2127
Phone (407) 580-5052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1095 NW Saint Lucie W Blvd
Suite 104
Port Saint Lucie, FL 34986
Phone (772) 785-5511
Hospital & facility affiliations
- Anchor Home Health Services, LLC
- Cleveland Clinic Martin North Hospital
- Cleveland Clinic Indian River Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160719 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Saint Francis Care Medical Group, PC | Past | Accepting new patients | |
| Orlando Health Inc | Internal Medicine | Past | Accepting new patients |
Locations
1095 NW Saint Lucie West Blvd
#L
Port St Lucie, FL 34986
Phone (772) 785-5595
1095 NW Saint Lucie West Blvd
Ste 104
Port St Lucie, FL 34986
Phone (772) 785-5511
1095 NW Saint Lucie West Blvd
Ste 108
Port St Lucie, FL 34986
Phone (561) 785-5580
10080 SW Innovation Way
Ste 201
Port St Lucie, FL 34987
Phone (772) 344-3811
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003
2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1487691259
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1508172545
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sewalls Point, FL
- NPI 1174665293
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1972587038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10080 SW INNOVATION WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872127",
"telephone_number": "407-580-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10080 SW INNOVATION WAY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872127",
"telephone_number": "407-580-5052",
"fax_number": "407-580-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAW",
"first_name": "MANJAREE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME160719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.