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DR. KRUTI PRAFUL MANIAR M.D.
NPI 1689833006
Pathology - Anatomic Pathology in Evanston, IL

Active since June 02, 2008PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
2650 RIDGE AVE., DEPT. OF PATHOLOGY, EVANSTON, IL 60201(847) 570-2182(847) 570-1938 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2021, Oct 6, 2020, Aug 7, 2020 (3 updates tracked since 2020).

About Dr. Kruti Praful Maniar M.d. NPPES

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

DR. KRUTI PRAFUL MANIAR M.D. (NPI 1689833006) is an individual anatomic pathology provider in Evanston, Illinois, licensed in Illinois (036133123) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1689833006
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. KRUTI PRAFUL MANIARCredential: M.D.
Location Address2650 RIDGE AVE., DEPT. OF PATHOLOGYEvanston, IL 60201-1057
Mailing Address2650 Ridge Ave., Dept. Of PathologyEvanston, IL 60201-1057 · (847) 570-2182 · Fax (847) 570-1938
Phone(847) 570-2182
Fax(847) 570-1938
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2007
Enumeration DateJune 2, 2008
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1689833006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in IL · 036133123
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License D0071620 (MD)
2650 RIDGE AVE., Evanston, IL 60201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1251 E Huron St, Feinberg Pavilion, 7-335Chicago, IL 60611-2908 · Phone (312) 926-9648

Other Identifiers 1

Medicaid045344700MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Kruti Praful Maniar 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 ID9335317981
PECOS Enrollment IDI20130701000614
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 11

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,114 services557 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
410 services119 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
227 services70 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
197 services72 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
171 services138 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
33 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

CHAD MICHAEL KELLER PA
Physician Assistant (Surgical)
2650 RIDGE AVE., BURCH 100, CARDIAC SURGERY DIVISION
EVANSTON, IL 60201
Cook County (847) 570-2859
DR. STEPHEN JOSEPH SCHRANTZ JR. M.D.
Internal Medicine (Infectious Disease)
2650 RIDGE AVE., BURCH BLDG. RM 124
EVANSTON, IL 60201
Cook County (847) 570-1502
PHILIP G HORCHER MD
Pediatrics (Neonatal-Perinatal Medicine)
2650 RIDGE AVE., WALGREEN 1505
EVANSTON, IL 60201
Cook County (847) 570-2033
ANNA I. MCGOW M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE., DEPARTMENT OF RADIOLOGY
EVANSTON, IL 60201
Cook County (847) 570-2475
DR. DAVID MICHAEL DICKERSON M.D.
Anesthesiology (Pain Medicine)
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2287
DR. HECTOR FERRAL M.D.
Radiology (Vascular & Interventional Radiology)
2650 RIDGE AVE., DEPT. OF RADIOLOGY
EVANSTON, IL 60201
Cook County (847) 570-2475
JACOB SETH ECANOW MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE., DEPARTMENT OF RADIOLOGY
EVANSTON, IL 60201
Cook County (847) 570-2475
DR. LINDA M. ERNST M.D. M.H.S.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE., DEPARTMENT OF PATHOLOGY
EVANSTON, IL 60201
Cook County (847) 570-2791

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 Kruti Maniar's NPI number?

The NPI number for Kruti Maniar is 1689833006. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Kruti Maniar located?

Kruti Maniar practices at 2650 Ridge Ave. Dept. Of Pathology, Evanston, IL 60201. The listed phone number is (847) 570-2182.

What is Kruti Maniar's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Kruti Maniar enrolled in Medicare?

Yes. Kruti Maniar 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.

What insurance does Kruti Maniar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kruti Maniar 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 Kruti Maniar affiliated with any hospitals?

According to CMS data, Kruti Maniar is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Kruti Maniar was last updated on November 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.