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VIVEK M MANIKAL MD
NPI 1093910879
Internal Medicine - Infectious Disease in St Augustine, FL

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
1093 A1A BEACH BLVD PMB415, ST AUGUSTINE, FL 32080(904) 819-9925(904) 819-9926 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivek M Manikal Md NPPES

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

VIVEK M MANIKAL MD (NPI 1093910879) is an individual infectious disease provider in St Augustine, Florida, licensed in Florida (ME 0080064) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1093910879
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameVIVEK M MANIKALCredential: MD
Location Address1093 A1A BEACH BLVD PMB415St Augustine, FL 32080
Mailing Address100 Whetstone Pl Ste 205St Augustine, FL 32086-5775 · (904) 819-9925 · Fax (904) 819-9926
Phone(904) 819-9925
Fax(904) 819-9926
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJune 20, 2007
Last NPPES UpdateDecember 2, 2014
✔ NPI 1093910879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME 0080064
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1093 A1A BEACH BLVD PMB415, St Augustine, FL 32080
Open in Google Maps ↗

Other Identifiers 4

Other35271FL · Bcbs
Medicare UPINH24561FL
Medicare ID-Type UnspecifiedK7712FL
Medicaid259185500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vivek M Manikal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870537863
PECOS Enrollment IDI20050613000195, I20150311000138
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
568 services271 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
541 services250 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
198 services181 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
139 services125 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
114 services91 patients
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.
42 services27 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100232
Location611 Zeagler DrPalatka, FL 32177 · Putnam County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Stephens County Hospital

Acute Care Hospitals · Toccoa, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110032
Location163 Hospital DriveToccoa, GA 30577 · Stephens County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.35
Promoting Interoperability88.33
Improvement Activities40

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 Vivek Manikal's NPI number?

The NPI number for Vivek Manikal is 1093910879. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Vivek Manikal located?

Vivek Manikal practices at 1093 A1a Beach Blvd Pmb415, St Augustine, FL 32080. The listed phone number is (904) 819-9925.

What is Vivek Manikal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Vivek Manikal enrolled in Medicare?

Yes. Vivek Manikal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vivek Manikal accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans and 1 other insurer list Vivek Manikal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vivek Manikal affiliated with any hospitals?

According to CMS data, Vivek Manikal is affiliated with Flagler Hospital, Hca Florida Putnam Hospital, Adventhealth Palm Coast Parkway and Stephens County Hospital.

When was this NPI record last updated?

The NPPES record for Vivek Manikal was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.