MANJU KOYAKKATTU THOMAS
NPI 1215554035
Family Medicine in Bronx, NY
About Manju Koyakkattu Thomas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANJU KOYAKKATTU THOMAS (NPI 1215554035) is an individual family medicine provider in Bronx, New York, licensed in New York (345568-01) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manju Koyakkattu Thomas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Montefiore Medical Center
Acute Care Hospitals · Bronx, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BRONX, NY 10467
BRONX, NY 10467
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 Manju Thomas's NPI number?
The NPI number for Manju Thomas is 1215554035. It was assigned to this individual provider in the NPPES registry on June 26, 2020.
Where is Manju Thomas located?
Manju Thomas practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4000.
What is Manju Thomas's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Manju Thomas enrolled in Medicare?
Yes. Manju Thomas is registered in the Medicare PECOS enrollment system.
Is Manju Thomas affiliated with any hospitals?
According to CMS data, Manju Thomas is affiliated with Montefiore Medical Center.
When was this NPI record last updated?
The NPPES record for Manju Thomas was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Manju Koyakkattu Thomas · NPI 1215554035
Family Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since June 26, 2020.
## Identity
- **NPI:** 1215554035 (Entity type: Individual)
- **Enumerated:** June 26, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 345568-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1215554035) · Data from the CMS NPPES public registry.