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MANOGNA NOOKATHOTA MD
NPI 1538575097
Internal Medicine in Carbondale, IL

Active since July 05, 2014PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721(618) 529-0479 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2024, Mar 6, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Manogna Nookathota Md NPPES

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

MANOGNA NOOKATHOTA MD (NPI 1538575097) is an individual internal medicine provider in Carbondale, Illinois, licensed in New Mexico (MD2022-0086) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1538575097
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMANOGNA NOOKATHOTACredential: MD
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing Address405 W Jackson StCarbondale, IL 62901-1462 · (618) 549-0721 · Fax (618) 529-0479
Phone(618) 549-0721
Fax(618) 529-0479
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 5, 2014
Last NPPES UpdateFebruary 9, 20244 updates tracked since enumeration
✔ NPI 1538575097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NM · MD2022-0086✔ Licensed in NE · 7329
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.
Also ListedHospitalistTaxonomy 208M00000X · License 036143222 (IL)
405 W JACKSON ST, Carbondale, IL 62901
Open in Google Maps ↗

Other Identifiers 1

Other214881IL · Multispecialty Group Ptan

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

Manogna Nookathota 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 ID3577842731
PECOS Enrollment IDI20220608000015
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.

Areas of Expertise CMS Part B claims 3

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.

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.
253 services74 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 2

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$79.24 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 20

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

MR. LUKAS WARD PA
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
RUPAL PARMAR M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
SCOTT A. COOPER M.D.
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Jackson County (618) 549-0721
LONG HA HUYNH M.D., PH.D.
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. BRITNEY NICOLE ARNOLD PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MR. DAN EDWARD MILLER CRNA
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
AMANDA M RYDEN MD
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. NICOLE A JOHNSON PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721

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 Manogna Nookathota's NPI number?

The NPI number for Manogna Nookathota is 1538575097. It was assigned to this individual provider in the NPPES registry on July 5, 2014.

Where is Manogna Nookathota located?

Manogna Nookathota practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Manogna Nookathota's specialty?

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

Is Manogna Nookathota enrolled in Medicare?

Yes. Manogna Nookathota 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.

Is Manogna Nookathota affiliated with any hospitals?

According to CMS data, Manogna Nookathota is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Manogna Nookathota was last updated on February 9, 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.