Individual provider Active NPI

Manish Khare, MD

  • Surgery Physician
  • Wayne, MI
National Provider Identifier
1972748366
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301086474 Issued in MI
Practice address
3106 S Wayne Rd
Wayne, MI 48184-1221
Phone
(734) 366-2300
Fax
(734) 722-4815
NPI assigned
Dec 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301086474 MI Primary

Addresses

Primary practice location

3106 S Wayne Rd
Wayne, MI 48184-1221

Mailing address

3106 S Wayne Rd
Wayne, MI 48184-1221
Phone (734) 366-2300

Other practice location 1

22250 Providence Dr Ste 606
Southfield, MI 48075-6214
Phone (248) 849-5862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000212 MI Practitioner - General Surgery 4981868866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgeons PCGroup PAC ID 6002956265, 15 clinicians

Practice addresses (Care Compare)

Southfield, MI 48075
Phone (248) 849-3000

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

3106 S Wayne Rd
Wayne, MI 48184-1221
Phone (734) 722-1063

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

Hospital & facility affiliations

  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301086474MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Trauma Care PLC CurrentSince Jun 27, 2023 Accepting new patients
VHS Sinai-Grace Hospital Inc Past Accepting new patients

Locations

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

Interoperability endpoints

  • Direct secure messaging: mkhare1134628@direct.hfhs.org
  • Direct secure messaging: mkhare44542@direct.trinity-health.org
  • Direct secure messaging: mkhare@direct.dmc.org

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1972748366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 S WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841221",
            "telephone_number": "734-366-2300",
            "fax_number": "734-722-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 S WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841221",
            "telephone_number": "734-366-2300",
            "fax_number": "734-722-4815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22250 Providence Dr Ste 606",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480756214",
            "country_code": "US",
            "telephone_number": "248-849-5862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHARE",
        "first_name": "MANISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-12",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301086474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

Verify at the official NPI Registry.