JIBIN MANIMALA
NPI 1427664531
Physician Assistant in Bronx, NY

Active since September 23, 2020PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-6444 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2020, Sep 23, 2020 (2 updates tracked since 2020).

About Jibin Manimala NPPES

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

JIBIN MANIMALA (NPI 1427664531) is an individual physician assistant in Bronx, New York, licensed in New York (025339) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427664531
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJIBIN MANIMALA
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address11 Hillview PlElmsford, NY 10523-2007 · (914) 909-0221
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 23, 2020
Last NPPES UpdateAugust 31, 20212 updates tracked since enumeration
NPPES CertifiedAugust 31, 2021
NPI 1427664531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 025339
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

111 E 210TH ST, Bronx, NY 10467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jibin Manimala is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183029499
PECOS Enrollment IDI20210825001964
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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10467 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $105.06
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $26.26
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $83.44
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $20.86
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jibin Manimala is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MONTEFIORE MEDICAL CENTER111 EAST 210TH STREET
BRONX, NY 10467
(718) 920-4321Acute Care Hospitals

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
111 E 210TH ST
BRONX, NY 10467
Nuclear Medicine
111 E 210TH ST
BRONX, NY 10467
Pediatrics (Pediatric Endocrinology)
111 E 210TH ST
BRONX, NY 10467
Internal Medicine (Critical Care Medicine)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Emergency Medicine
111 E 210TH ST
BRONX, NY 10467
Pathology (Anatomic Pathology & Clinical Pathology)
111 E 210TH ST, MONTEFIORE MED CTR DEPT PATHOLOGY
BRONX, NY 10467
Nurse Practitioner (Adult Health)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST, ROSENTHAL 4
BRONX, NY 10467
Internal Medicine
111 E 210TH ST, NW6
BRONX, NY 10467
Surgery
111 E 210TH ST, ROSENTHAL 2
BRONX, NY 10467
Ophthalmology
111 E 210TH ST, DEPT OF OPHTHALMOLOGY
BRONX, NY 10467
Anesthesiology (Critical Care Medicine)
111 E 210TH ST
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Internal Medicine (Nephrology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
General Acute Care Hospital (Children)
111 E 210TH ST
BRONX, NY 10467
Emergency Medicine
111 E 210TH ST, EMERGENCY DEPARTMENT
BRONX, NY 10467
Internal Medicine
111 E 210TH ST
BRONX, NY 10467
Registered Nurse
111 E 210TH ST
BRONX, NY 10467
Registered Nurse (Medical-Surgical)
111 E 210TH ST, MAP 4 DEPT OF SURGERY
BRONX, NY 10467
Emergency Medicine
111 E 210TH ST
BRONX, NY 10467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427664531, enumerated as an "individual" on September 23, 2020.

The provider is located at 111 E 210TH ST BRONX, NY 10467 and the phone number is (718) 920-6444.

Physician Assistant with taxonomy code 363A00000X.

Jibin Manimala is affiliated with: MONTEFIORE MEDICAL CENTER.