MANHATTAN GASTROENTEROLOGY P.C.
NPI 1922396472
Internal Medicine - Gastroenterology in New York, NY
About Manhattan Gastroenterology P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANHATTAN GASTROENTEROLOGY P.C. (NPI 1922396472) is a healthcare organization registered as a gastroenterology in New York, New York and active in the NPI registry since July 2011. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Shawn Khodadadian, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manhattan Gastroenterology P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Manhattan Gastroenterology P.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 15 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (19)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2165881
Manhattan Gastroenterology · New York, NYCertificate of Waiver 33D2165882
Manhattan Gastroenterology · New York, NYFrequently 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 Manhattan Gastroenterology P.C.'s NPI number?
The NPI number for Manhattan Gastroenterology P.C. is 1922396472. It was assigned to this organization in the NPPES registry on July 19, 2011.
Where is Manhattan Gastroenterology P.C. located?
Manhattan Gastroenterology P.C. is located at 55 W 17th St, New York, NY 10011. The listed phone number is (212) 427-8761.
What is Manhattan Gastroenterology P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Manhattan Gastroenterology P.C. enrolled in Medicare?
Yes. Manhattan Gastroenterology P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Manhattan Gastroenterology P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Manhattan Gastroenterology P.C.. A 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 the clinician's services. The largest specialties are Gastroenterology (11), Internal Medicine (3) and Pathology (2). Of these, 4 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Manhattan Gastroenterology P.C. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Manhattan Gastroenterology P.C. was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Manhattan Gastroenterology P.c. · NPI 1922396472
Gastroenterology organization in New York, New York. Organization record, active in the CMS NPPES registry since July 19, 2011.
## Identity
- **NPI:** 1922396472 (Entity type: Organization)
- **Enumerated:** July 19, 2011
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Shawn Khodadadian, OWNER
## Practice location
- **Address:** 55 W 17TH ST, New York, NY 10011-5513
- **Phone:** (212) 427-8761 · **Fax:** (212) 427-8762
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (11), Internal Medicine (3), Pathology (2); 4 practice at this address and 15 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2026
- **Other identifiers:** Other A100252116 (NY)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922396472) · Data from the CMS NPPES public registry.