MANISH SHETTY MD
NPI 1013761014
Student in an Organized Health Care Education/Training Program in Glasgow, KY

Active since April 16, 2024PECOS Enrolled
1325 N RACE ST, GLASGOW, KY 42141(270) 651-4865 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Manish Shetty Md NPPES

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

MANISH SHETTY MD (NPI 1013761014) is an individual student in an organized health care education/training program in Glasgow, Kentucky and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013761014
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMANISH SHETTYCredential: MD
Location Address1325 N RACE STGlasgow, KY 42141-3427
Mailing Address1325 N Race StGlasgow, KY 42141-3427 · (270) 651-4865
Sole ProprietorNo
Enumeration DateApril 16, 2024
NPPES CertifiedApril 16, 2024
NPI 1013761014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1325 N RACE ST, Glasgow, KY 42141

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Manish Shetty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141
Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141
Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141
Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141
Emergency Medicine
1325 N RACE ST
GLASGOW, KY 42141
Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141
Family Medicine
1325 N RACE ST
GLASGOW, KY 42141
Family Medicine
1325 N RACE ST
GLASGOW, KY 42141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013761014, enumerated as an "individual" on April 16, 2024.

The provider is located at 1325 N RACE ST GLASGOW, KY 42141 and the phone number is (270) 651-4865.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.