DR. MANISH PANDYA M.D.
NPI 1326145392
Internal Medicine - Nephrology in Farmington, NM

Q: What is Manish Pandya's NPI number?

The NPI number for Manish Pandya is 1326145392. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Manish Pandya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Manish Pandya was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

82.45/100

CMS Quality Rating

301 S LAKE ST STE B, FARMINGTON, NM 87401(505) 278-8575(505) 787-2399 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2024, Jul 26, 2024, Oct 8, 2020 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Manish Pandya M.d. NPPES

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

DR. MANISH PANDYA M.D. (NPI 1326145392) is an individual nephrology provider in Farmington, New Mexico, licensed in New Mexico (MD-2005-0152) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1326145392

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. MANISH PANDYACredential: M.D.

Location Address301 S LAKE ST STE BFarmington, NM 87401

Mailing AddressPo Box 6210Farmington, NM 87499-6210 · (505) 609-2258

Phone(505) 278-8575

Fax(505) 787-2399

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1326145392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in NM · MD-2005-0152✔ Licensed in UT · 72-43923-1205

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

301 S LAKE ST STE B, Farmington, NM 87401

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Secondary Practice Location 1

Location 1301 S Lake St Ste BFarmington, NM 87401 · Phone (505) 278-8575 · Fax (505) 787-2399

Other Identifiers 4

Medicaid33633339NM

Medicaid04056558CO

Medicaid109497AZ

Medicaid1326145392UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Manish Pandya M.d. 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 ID6002848900

PECOS Enrollment IDI20050831000270, I20080327000764, I20140930002730

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.

Medicare Billing Reassignments

Medicare enrollment records show Manish Pandya reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

My Kidney Care, LLC

Same address

Nephrology

301 S LAKE ST STE B
Farmington, NM 87401

Reassigned Medicare billing, Arizona and New Mexico enrollments

NPI 1235611484 (505) 278-8575

San Juan Regional Medical Center Inc

0.2 mi

Surgery

735 W ANIMAS ST
Farmington, NM 87401

Reassigned Medicare billing, New Mexico enrollment
368 clinicians in this Medicare group

NPI 1104142215 (505) 609-6300

Dhhs, Phs, Naihs, Shiprock Hospital

31 mi

General Acute Care Hospital

6 ROAD 7586
Bloomfield, NM 87413

Reassigned Medicare billing, Texas enrollment
572 clinicians in this Medicare group

NPI 1760427587 (505) 368-6401

Utah Navajo Health System, Incorporated

61 mi

Federally Qualified Health Center (FQHC)

1478 EAST HIGHWAY 162
Montezuma Creek, UT 84534

Reassigned Medicare billing, Utah enrollment
54 clinicians in this Medicare group

NPI 1811991151 (435) 651-3766

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility

67 mi

General Acute Care Hospital

NAVAJO ROUTE 64
Tsaile, AZ 86556

Reassigned Medicare billing, Texas enrollment
476 clinicians in this Medicare group

NPI 1538185715 (928) 724-3600

Dhhs Ihs Phoenix Area

139 mi

Critical Access

HIGHWAY 264 MILEPOST 388
Polacca, AZ 86042

Reassigned Medicare billing, Texas enrollment
199 clinicians in this Medicare group

NPI 1356628028 (928) 737-6000

Tuba City Regional Health Care Corporation

148 mi

Family Medicine

10 MILES NE OF SR264 MP362, ROCKY RIDGE SCHOOL STREET
Kykotsmovi, AZ 86039

Reassigned Medicare billing, Texas enrollment
540 clinicians in this Medicare group

NPI 1396921870 (928) 283-2781

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 21

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.

928 services416 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

391 services238 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

291 services39 patients

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.

285 services102 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

162 services38 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.

117 services101 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

114 services65 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

96 services96 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

90 services27 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

86 services19 patients

Kidney function blood test panel 80069

A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.

68 services46 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

68 services47 patients

Total protein level, urine 84156

The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.

66 services44 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

65 services44 patients

Uric acid level, blood 84550

A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.

59 services45 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

53 services37 patients

Magnesium level 83735

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

38 services29 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

34 services22 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.

33 services28 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.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320005

Location801 West Maple StreetFarmington, NM 87401 · San Juan County

Emergency services Birthing friendly

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM

OwnershipGovernment - Federal

CMS Certification Number320059

LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

82.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.08

Promoting Interoperability

100

Improvement Activities

Cost

54.76

Referred Medical Equipment & Supplies CMS DME claims 25

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

7 suppliers33 claims73 services$6.46 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

3 suppliers23 claims580 services$4.91 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

3 suppliers16 claims320 services$7.83 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

2 suppliers12 claims240 services$3.16 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims625 services$0.23 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604