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NANIK R MANCHANDANI M.D
NPI 1013164854
General Practice in Waterbury, CT

Active since August 23, 2008PECOS EnrolledCLIA 07D2232219 · Waiver
2457 E MAIN ST UNIT 105, WATERBURY, CT 06705(347) 475-2801 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2021, Jun 16, 2021, Apr 29, 2021 (3 updates tracked since 2021).

About Nanik R Manchandani M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANIK R MANCHANDANI M.D (NPI 1013164854) is an individual general practice provider in Waterbury, Connecticut, licensed in Connecticut (051039) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 10, 2027, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1013164854
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameNANIK R MANCHANDANICredential: M.D
Location Address2457 E MAIN ST UNIT 105Waterbury, CT 06705-2685
Mailing Address955 Coney Island Ave Apt 101Brooklyn, NY 11230-1400 · (347) 475-2801
Phone(347) 475-2801
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 23, 2008
Last NPPES UpdateJune 25, 20213 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1013164854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CT · 051039
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 28927 (OK)
2457 E MAIN ST UNIT 105, Waterbury, CT 06705
Open in Google Maps ↗

Other Identifiers 1

Medicaid1013164854CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nanik R Manchandani M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052574936
PECOS Enrollment IDI20130812000428
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2232219

Nanik Manchandani MD · Waterbury, CT
Active · expires Aug 10, 2027
CLIA Number07D2232219
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorNanik R. Manchandani
Laboratory Phone(203) 527-7105
Laboratory LocationNanik Manchandani MD2457 E Main St, Unit 105, Waterbury, CT 06705
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY HEALTHCARE PLLC
General Practice
2457 E MAIN ST UNIT 105
WATERBURY, CT 06705
Naugatuck Valley Planning Region (347) 475-2801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nanik Manchandani's NPI number?

The NPI number for Nanik Manchandani is 1013164854. It was assigned to this individual provider in the NPPES registry on August 23, 2008.

Where is Nanik Manchandani located?

Nanik Manchandani practices at 2457 E Main St Unit 105, Waterbury, CT 06705. The listed phone number is (347) 475-2801.

What is Nanik Manchandani's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nanik Manchandani enrolled in Medicare?

Yes. Nanik Manchandani is registered in the Medicare PECOS enrollment system.

Does Nanik Manchandani hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2232219) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nanik Manchandani was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.