DR. PRANITHA MANTRALA (NPI# 1578843496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578843496 |
| Entity Type | Individual |
| Full Name | DR. PRANITHA MANTRALA |
| Credential | MD |
| Practice Address |
670 Stoneleigh Ave Carmel NY 10512-3997 |
| Mailing Address |
1351 Route 55 Suite 200 Lagrangeville NY 12540-5108 |
| Practice Telephone | 8452795711 |
| Mailing Telephone | 8454759661 |
| Mailing Fax Number | 8454759938 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 276789 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 276789 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03914463 | 05 |
| Street Address |
670 STONELEIGH AVE |
| City | CARMEL |
| State | NY |
| Zip Code | 10512-3997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546838 | Julie Feldman | Audiologist | 670 Stoneleigh Ave, Bldg 665, Ste 205, Carmel, NY 10512-3997 | 2005-05-27 |
| 1457980286 | Tatsuhiko Naito | Student in an Organized Health Care Education/Training Program | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2020-04-03 |
| 1386273365 | Bakht Siddiqui | Student in an Organized Health Care Education/Training Program | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2020-04-02 |
| 1083242069 | Majd Soudan | Student in an Organized Health Care Education/Training Program | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2020-03-27 |
| 1194358192 | Jesus Daniel Del Val | Student in an Organized Health Care Education/Training Program | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2020-02-18 |
| 1649803933 | Erika Camilli | Art Therapist | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2020-02-15 |
| 1649827544 | Paige Forsthoff | Physical Therapist | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2019-08-25 |
| 1497300529 | Christina Malchiodi | Physician Assistant | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2019-08-06 |
| 1962055566 | Mi Hee Lee | Pharmacist | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2019-07-23 |
| 1205348315 | Health Quest Medical Practice, PC | Radiology | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2017-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706272 | Health Quest Medical Practice, PC | Family Medicine | 150 Route 52-metabolic Program, Carmel, NY 10512 | 2020-10-08 |
| 1487282950 | Daniel Bryan Rush | Student in an Organized Health Care Education/Training Program | Putnam Hospital Center, 660 Stonrlrigh Avenue, Carmel Hamlet, NY 10512 | 2020-03-31 |
| 1083139521 | Colette Mignogna | Physical Therapist | 902 Vista On The Lake, Carmel, NY 10512 | 2017-08-06 |
| 1366965543 | Amanda Marie Santangelo | Speech-Language Pathologist | 281 Daisy Lane, Carmel, NY 10512 | 2017-07-19 |
| 1184146557 | James William Johnson | Licensed Practical Nurse | 25 Beekman Dr, Carmel, NY 10512 | 2017-07-07 |
| 1356702369 | Terry-ann Mclennon | Social Worker | 494 Nimham Rd, Kent Lakes, NY 10512 | 2016-03-18 |
| 1033529698 | Daisy Lee | Dentist | 667 Stoneleigh Ave Ste 301, Carmel, NY 10512 | 2014-05-05 |
| 1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
| 1588901185 | Robyn Weindel | Speech-Language Pathologist | 2506 Kings Way, Carmel, NY 10512 | 2013-01-16 |
| 1447509641 | Rachael Palmer Jones | Registered Nurse | 670 Stoneleigh Ave Ste C-122, Carmel, NY 10512 | 2012-09-04 |
| Find all providers in zip 10512 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003884404 | Srinivasu Kesa | Hospitalist | 3471 Muirfield Way, Carmel, IN 46032 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274454 | Nisar Alvi M.d. P.C. | Hospitalist | 2613 Pinebluff Dr, Vestal, NY 13850-2909 | 2017-02-20 |
| 1194172171 | Milna Rose Rufin | Hospitalist | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-19 |
| 1831553809 | Fatima Chaudhri | Hospitalist | 1st Avenue At E16th Street, New York, NY 10003-2925 | 2016-04-06 |
| 1174986228 | Niyati Ajit Bhagwat | Hospitalist | Nyu Winthrop Hospital, 259 1st Street, Mineola, NY 11501 | 2016-04-05 |
| 1902269806 | Lindsey Fox | Hospitalist | 1111 Amsterdam Ave Dept Of, New York, NY 10025-1716 | 2016-03-30 |
| 1538520440 | Myung Sun Choi | Hospitalist | 1425 Portland Ave Ste 204, Rochester, NY 14621-3011 | 2016-03-19 |
| 1992177711 | Saroj Sapkota | Hospitalist | 11111 Liberty Ave, South Richmond Hill, NY 11419-1811 | 2015-10-21 |
| 1255715116 | Shorabh Sharma | Hospitalist | 4422 Third Ave Mills Building, Department of Internal Medicine, Bronx, NY 10457 | 2015-07-10 |
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1659787653 | Symphony Medical PC | Hospitalist | 27 S Washington Ave, Dobbs Ferry, NY 10522-1806 | 2014-07-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.