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MANU R GADANI MD
NPI 1235345851
Internal Medicine in Hopewell, VA

Active since May 14, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 49D0912026 · Waiver
34.57/100
CMS Quality Rating
5303 PLAZA DR, SUITE-101, HOPEWELL, VA 23860(804) 458-2006(804) 458-3629 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manu R Gadani Md NPPES

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

MANU R GADANI MD (NPI 1235345851) is an individual internal medicine provider in Hopewell, Virginia, licensed in Virginia (0101053054) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 6, 2027, and is affiliated with John Randolph Medical Center.

NPPES Registry Identity

NPI1235345851
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMANU R GADANICredential: MD
Location Address5303 PLAZA DR, SUITE-101Hopewell, VA 23860-7331
Mailing Address5303 Plaza Dr, Suite-101Hopewell, VA 23860-7331 · (804) 458-2006 · Fax (804) 458-3629
Phone(804) 458-2006
Fax(804) 458-3629
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1235345851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101053054
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5303 PLAZA DR, Hopewell, VA 23860
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC32269VA
Other230297VA · Blue Shield
Other010558VA · Cigna

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

Manu R Gadani 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 ID2961478474
PECOS Enrollment IDI20040907000820
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 49D0912026

Manu R Gadani, MD PC · Hopewell, VA
Active · expires Jul 6, 2027
CLIA Number49D0912026
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorManu R. Gadani MD
Laboratory Phone(804) 458-2006
Laboratory LocationManu R Gadani, MD PC5303 Plaza Drive Suite 101, Hopewell, VA 23860
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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 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.
632 services153 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
296 services144 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
226 services159 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
151 services106 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
108 services67 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.
77 services20 patients

Hospital Affiliations CMS Care Compare 2

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490020
Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County
Emergency services

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23860 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

34.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality21.66
Improvement Activities0
Cost86.35

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%256 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers29 claims56 services$4.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers22 claims22 services$0.83 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims2,924 services$0.03 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims540 services$0.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers11 claims11 services$204.20 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers19 claims19 services$26.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. EUGENE A PETRASY DDS
Dentist
5303 PLAZA DR, SUITE 103
HOPEWELL, VA 23860
Hopewell City (804) 458-5047
HEART CARE ASSOCIATES P C
Internal Medicine (Cardiovascular Disease)
5303 PLAZA DR, SUITE 102
HOPEWELL, VA 23860
Hopewell City (804) 541-3800
ADRIAN CALIN AVRAM DDS
Dentist (General Practice)
5303 PLAZA DR, SUITE 103
HOPEWELL, VA 23860
Hopewell City (804) 458-5047
DENISE BOYD WILLIS PA-C
Physician Assistant (Medical)
5303 PLAZA DR, SUITE 101
HOPEWELL, VA 23860
Hopewell City (804) 458-2006
MANU R. GADANI, MD PC INC
Internal Medicine
5303 PLAZA DR, SUITE--101
HOPEWELL, VA 23860
Hopewell City (804) 458-3629
DR. WILLIAM PAUL FERNALD DDS
Dentist (General Practice)
5303 PLAZA DR, SUITE 103
HOPEWELL, VA 23860
Hopewell City (804) 458-5047
SAM E ENGLISH
Dentist (General Practice)
5303 PLAZA DR, SUITE 103
HOPEWELL, VA 23860
Hopewell City (804) 458-5047
DR. KAMLESH NANDLAL DAVE M.D.,F.A.C.C.
Internal Medicine (Cardiovascular Disease)
5303 PLAZA DR, STE 102
HOPEWELL, VA 23860
Hopewell City (804) 541-3800

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 Manu Gadani's NPI number?

The NPI number for Manu Gadani is 1235345851. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Manu Gadani located?

Manu Gadani practices at 5303 Plaza Dr Suite-101, Hopewell, VA 23860. The listed phone number is (804) 458-2006.

What is Manu Gadani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manu Gadani enrolled in Medicare?

Yes. Manu Gadani 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.

Does Manu Gadani hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0912026) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Manu Gadani affiliated with any hospitals?

According to CMS data, Manu Gadani is affiliated with John Randolph Medical Center and Bon Secours Southside Medical Center.

When was this NPI record last updated?

The NPPES record for Manu Gadani was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.