MR. JASON JOSE MANAKAT (PA-C) – Medical Physician Assistant, NPI 1104547173

MR. JASON JOSE MANAKAT (PA-C) is a healthcare provider. based in Vail, Arizona. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085.009077 (IL). The NPI Number for MR. JASON JOSE MANAKAT (PA-C) is 1104547173

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. JASON JOSE MANAKAT (PA-C)
NPI
1104547173
Phone
(404) 490-0999
Address
12859 E PANTANO VIEW DR
Enumeration Date
8 September 2022
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
5203012400
Graduation Year
2022 (4 years ago)
PAC ID
0143682583
Group Practice PAC ID
2769874197
Professional Enrollment ID
I20230816002356
Address ID
AZ857142081TU2802XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:3State licenses:2Digital endpointsOther names

3,685 PHYSICIAN ASSISTANT in AZ

Provider Addresses for MR. JASON JOSE MANAKAT (PA-C)

  • 12859 E PANTANO VIEW DR

    VAIL, AZ 856410019

    Phone: (404) 490-0999

    Type: Mailing

  • 14811 W BELL RD STE 100

    SURPRISE, AZ 853747602

    Phone: (623) 328-7323

    Type: Location

  • 2802 E DISTRICT ST

    TUCSON, AZ 857142081

    Phone: (520) 301-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2023-09-22 • Largest payer in this snapshot: Alkermes, Inc. ($44).

Total Amount

$74

General + Research + Ownership

Payments

3

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$44
ABBVIE INC.$30
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230816002356IPhysician AssistantAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4320$0
View full utilization report →

Insurance plans in this area (ZIP 85641)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769874197View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerAZ
P S Y C H I A T R YAZ
Nurse PractitionerTX
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerNV
Nurse PractitionerNH
Nurse PractitionerAZ
Physician AssistantAZ

Reviews

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Frequently asked questions

Where can patients find MR. JASON JOSE MANAKAT (PA-C)'s NPI?
You can confirm MR. JASON JOSE MANAKAT (PA-C) with NPI 1104547173; it appears in the national provider directory.
Is MR. JASON JOSE MANAKAT (PA-C) active in the national directory?
MR. JASON JOSE MANAKAT (PA-C)'s public NPI profile is in an active state.
Can you summarize MR. JASON JOSE MANAKAT (PA-C)'s specialty in plain language?
Clinically, the directory lists MR. JASON JOSE MANAKAT (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JASON JOSE MANAKAT (PA-C)?
The snapshot lists Vail, Arizona for MR. JASON JOSE MANAKAT (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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