Manjunath Nathan


Address: 2095 W 24th St A, Yuma, AZ 85364-6243

Manjunath Nathan (NPI# 1225024896, PAC ID# 8729089016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1225024896
PAC ID by PECOS 8729089016
Professional Enrollment ID I20070206000073
Full Name Manjunath Nathan
Address 2095 W 24th St A
Yuma
AZ 85364-6243
Gender M
Credential MD
Graduation Year 2000
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030013 YUMA REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
2095 W 24th St A, Yuma, AZ 85364-6243

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 100%
MIPS_EC_047_overall Care Plan 100%

Organization Information

Office Location

Street Address 2095 W 24TH ST A
City YUMA
State AZ
Zip 85364-6243

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Name Specialty Organization Address
Bolaji Kehinde Adetiba Nurse Practitioner Southwestern Palliative Care Associates Plc 291 S Main St, Suite C, Yuma, AZ 85364-1435
Ashley B Hart Ii Psychologist, Clinical 106 E 1st St, Suite D, Yuma, AZ 85364-1472
Shauna H Simpson Nurse Practitioner Southwestern Palliative Care Associates Plc 1950 W 3rd St, Yuma, AZ 85364-1812
Frances E Davison Nurse Practitioner Southwestern Palliative Care Associates Plc 1950 W 3rd St, Yuma, AZ 85364-1812
Cordelia M Holbert Clinical Social Worker 224 S 3rd Ave, Suite E216, Yuma, AZ 85364-2224
Lisa Ling Nurse Practitioner Community Intervention Associates Inc. 410 S Maiden Ln, Yuma, AZ 85364-2319
Mark S Plante Physical Therapy 381 S Main St, Yuma, AZ 85364-2340
Efoui Menyo Abotsi-kowu Nurse Practitioner Sunset Community Health Center Inc 675 S Ave B, Yuma, AZ 85364-2749
Lori L Burris Nurse Practitioner Sunset Community Health Center Inc 675 S Ave B, Yuma, AZ 85364-2749
Laura C Spindola Nurse Practitioner Sunset Community Health Center Inc 675 S Ave B, Yuma, AZ 85364-2749
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Competitor

Search similar physicians

City YUMA
Zip Code 85364
Specialty INTERNAL MEDICINE
City + Specialty YUMA + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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