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SURJIT S MANIKTALA MD
NPI 1801980594
Internal Medicine in Brockton, MA

Active since October 03, 2006PECOS Enrolled
30 MEADOWBROOK RD, BROCKTON, MA 02301(508) 584-9520 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Dec 20, 2017 (2 updates tracked since 2017).

About Surjit S Maniktala Md NPPES

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

SURJIT S MANIKTALA MD (NPI 1801980594) is an individual internal medicine provider in Brockton, Massachusetts, licensed in Massachusetts (53518) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Norwood.

NPPES Registry Identity

NPI1801980594
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSURJIT S MANIKTALACredential: MD
Location Address30 MEADOWBROOK RDBrockton, MA 02301-7122
Mailing Address30 Meadowbrook RdBrockton, MA 02301-7122 · (508) 584-9520
Phone(508) 584-9520
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1801980594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 53518
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.
30 MEADOWBROOK RD, Brockton, MA 02301
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Secondary Practice Location 1

Location 1800 Washington StNorwood, MA 02062-3487 · Phone (781) 769-4000

Other Identifiers 5

Other110211580MA · Rail Road Medicare
OtherJ13686MA · Bc/bs
Other698120MA · Harvard Pilgrim Health Ca
Other764557MA · Tufts Health Plan
Medicaid110057924AMA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surjit S Maniktala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Surjit Maniktala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uhs Of Fuller Inc
20 mi
Psychiatric Hospital
200 MAY ST
S Attleboro, MA 02703
  • Reassigned Medicare billing, Massachusetts enrollment
  • 68 clinicians in this Medicare group
NPI 1316917222 (508) 761-8500
High Point Treatment Center Inc.
28 mi
Counselor
72 KILBURN ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 99 clinicians in this Medicare group
NPI 1518996354 (774) 628-1033
The Commonwealth Of Massachusetts
40 mi
Long Term Care Hospital
365 EAST STREET
Tewksbury, MA 01876
  • Reassigned Medicare billing, Massachusetts enrollment
  • 97 clinicians in this Medicare group
NPI 1871680496 (978) 851-7321

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

PAMELA CUMMISKY
Counselor (Addiction (Substance Use Disorder))
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 628-1000
SEAN KRAUSE
Counselor (Addiction (Substance Use Disorder))
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 689-5576
LISA DOUBLEDAY M.ED
Counselor (Addiction (Substance Use Disorder))
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 408-6190
JEAN ANN CAMBRA CSP
Case Manager/Care Coordinator
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 264-1681
ANABEL GRAHAM BA
Counselor (Mental Health)
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (978) 235-6548
ALLISON MARIE BULGER
Counselor
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8336
KRISTA LEE GUZMAN
Counselor (Addiction (Substance Use Disorder))
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (617) 391-0846
KATHERINE SANDRA HANLEY PMHNP-BC, LMHC
Nurse Practitioner (Psychiatric/Mental Health)
30 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (857) 225-4076

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 Surjit Maniktala's NPI number?

The NPI number for Surjit Maniktala is 1801980594. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Surjit Maniktala located?

Surjit Maniktala practices at 30 Meadowbrook Rd, Brockton, MA 02301. The listed phone number is (508) 584-9520.

What is Surjit Maniktala's specialty?

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

Is Surjit Maniktala enrolled in Medicare?

Yes. Surjit Maniktala is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Surjit Maniktala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Surjit Maniktala reassigns Medicare benefits to 3 organizations: Uhs Of Fuller Inc (S Attleboro, MA), High Point Treatment Center Inc. (New Bedford, MA) and The Commonwealth Of Massachusetts (Tewksbury, MA). 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 Surjit Maniktala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Surjit Maniktala was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.