DR. MANISH GARG M.D.
NPI 1821035650
Internal Medicine - Nephrology in Wilmington, DE

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
83.86/100
CMS Quality Rating
2006 LIMESTONE RD, SUITE 7, WILMINGTON, DE 19808(302) 355-2383(302) 351-6261 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Manish Garg M.d. NPPES

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

DR. MANISH GARG M.D. (NPI 1821035650) is an individual nephrology provider in Wilmington, Delaware, licensed in Delaware (C10007344) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1821035650
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MANISH GARGCredential: M.D.
Location Address2006 LIMESTONE RD, SUITE 7Wilmington, DE 19808-5553
Mailing Address2006 Limestone Rd, Suite 7Wilmington, DE 19808-5553 · (302) 355-2383 · Fax (302) 351-6261
Fax(302) 351-6261
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 1, 2006
Last NPPES UpdateApril 24, 2015
NPI 1821035650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in DE · C10007344
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License C10007344 (DE)
2006 LIMESTONE RD, Wilmington, DE 19808

Other Identifiers 1

Medicare UPING84942

Accepted 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. Manish Garg 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 ID1456321371
PECOS Enrollment IDI20040819000324, I20050318000364
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.

Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
2,314 services46 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
616 services93 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.
506 services205 patients
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.
201 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
199 services89 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
111 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

83.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.89
Improvement Activities40
Cost67.51

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers29 claims6,810 services$1.22 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers14 claims2,880 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers27 claims27 services$18.91 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers43 claims44 services$12.60 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.

Nurse Anesthetist, Certified Registered
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Anesthesiology
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Anesthesiology
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Anesthesiology
2006 LIMESTONE RD, SUITE #5
WILMINGTON, DE 19808
Counselor (Addiction (Substance Use Disorder))
2006 LIMESTONE RD
WILMINGTON, DE 19808
Anesthesiology
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Nurse Anesthetist, Certified Registered
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808
Nurse Anesthetist, Certified Registered
2006 LIMESTONE RD, SUITE 5
WILMINGTON, DE 19808

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 Manish Garg's NPI number?

The NPI number for Manish Garg is 1821035650. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Manish Garg located?

Manish Garg practices at 2006 Limestone Rd Suite 7, Wilmington, DE 19808. The listed phone number is (302) 355-2383.

What is Manish Garg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Manish Garg enrolled in Medicare?

Yes. Manish Garg 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 Manish Garg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Manish Garg 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.

When was this NPI record last updated?

The NPPES record for Manish Garg was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.