NISHA J MANEK M.D.
NPI 1437139151
Internal Medicine - Rheumatology in Phoenix, AZ

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
80.77/100
CMS Quality Rating
6838 N 23RD AVE, PHOENIX, AZ 85015(602) 864-8800(602) 864-1448 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nisha J Manek M.d. NPPES

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

NISHA J MANEK M.D. (NPI 1437139151) is an individual rheumatology provider in Phoenix, Arizona, licensed in Minnesota (42431) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with P H S Indian Hospital-ft Belknap At Harlem - Cah, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1437139151
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameNISHA J MANEKCredential: M.D.
Location Address6838 N 23RD AVEPhoenix, AZ 85015-1056
Mailing Address6838 N 23rd AvePhoenix, AZ 85015-1056 · (602) 864-8800 · Fax (602) 864-1448
Fax(602) 864-1448
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 19, 2006
Last NPPES UpdateFebruary 20, 2013
✔ NPI 1437139151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in MN · 42431✔ Licensed in AZ · 45240
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
6838 N 23RD AVE, Phoenix, AZ 85015

Other Identifiers 4

Medicare UPINH08663
Medicaid200645600MN
Medicare ID-Type Unspecified660000138MN
Medicare ID-Type Unspecified660002869MN · Railroad

Accepted 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

Nisha J Manek 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 ID4486798097
PECOS Enrollment IDI20200401001340
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

7

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

Public Health, Federal
BLACK COAL DRIVE, #29
Fort Washakie, WY 82514
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Health Dept Of Health & Human Services
  • 306 clinicians in this Medicare group
Public Health, Federal
29 BLACK COAL DR
Fort Washakie, WY 82514
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
Public Health or Welfare
24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625
  • Reassigned Medicare billing, Texas enrollment
  • 282 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
225 BLUFF ST
Winnebago, NE 68071
  • Reassigned Medicare billing, Texas enrollment
  • 90 clinicians in this Medicare group
Clinic/Center
100 LAKE TRAVERSE DRIVE
Sisseton, SD 57262
  • Reassigned Medicare billing, Texas enrollment
  • 50 clinicians in this Medicare group
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group

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 2

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.
19 services14 patients
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.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

P H S Indian Hospital-Ft Belknap At Harlem - Cah

Critical Access Hospitals · Harlem, MT
OwnershipGovernment - Federal
CMS Certification Number271315
Location456 Gros Ventre Ave, Rr 1Harlem, MT 59526 · Blaine County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85015 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

80.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.4
Promoting Interoperability76
Improvement Activities40
Cost58.21

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.

Internal Medicine
6838 N 23RD AVE
PHOENIX, AZ 85015
Obstetrics & Gynecology
6838 N 23RD AVE
PHOENIX, AZ 85015
Internal Medicine
6838 N 23RD AVE
PHOENIX, AZ 85015
Non-Pharmacy Dispensing Site
6838 N 23RD AVE
PHOENIX, AZ 85015
Internal Medicine
6838 N 23RD AVE
PHOENIX, AZ 85015
Specialist
6838 N 23RD AVE
PHOENIX, AZ 85015
Internal Medicine
6838 N 23RD AVE
PHOENIX, AZ 85015
Specialist
6838 N 23RD AVE
PHOENIX, AZ 85015

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 Nisha Manek's NPI number?

The NPI number for Nisha Manek is 1437139151. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Nisha Manek located?

Nisha Manek practices at 6838 N 23rd Ave, Phoenix, AZ 85015. The listed phone number is (602) 864-8800.

What is Nisha Manek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nisha Manek enrolled in Medicare?

Yes. Nisha Manek 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.

Which organizations bill Medicare for Nisha Manek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Manek reassigns Medicare benefits to 7 organizations: Us Health Dept Of Health & Human Services (Fort Washakie, WY), Eastern Shoshone Tribe (Fort Washakie, WY), Rosebud Indian Health Service (Rosebud, SD), Eagle Butte Indian Health Service Hospital (Eagle Butte, SD), Winnebago Tribe Of Nebraska (Winnebago, NE) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nisha Manek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisha Manek accept?

Health plans from Blue Cross Blue Shield of North Dakota and Oscar Insurance Company list Nisha Manek 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 Nisha Manek affiliated with any hospitals?

According to CMS data, Nisha Manek is affiliated with P H S Indian Hospital-Ft Belknap At Harlem - Cah.

When was this NPI record last updated?

The NPPES record for Nisha Manek was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.