DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.) – Gastroenterology Physician, NPI 1437539640

DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 01098255A (IN). The NPI Number for DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.) is 1437539640

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.)
NPI
1437539640
Phone
(215) 762-7916
Address
245 N 15TH ST FL 6
Enumeration Date
2 June 2015
Last Update Date
3 January 2026

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2704430777
Graduation Year
2015 (11 years ago)
PAC ID
8820499577
Group Practice PAC ID
1456777069
Professional Enrollment ID
I20240226003241
Address ID
KY420037915PA225XXDRXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:11State licenses:3Digital endpointsOther names

1,182 GASTROENTEROLOGY in PA

Provider Addresses for DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.)

  • 245 N 15TH ST FL 6

    PHILADELPHIA, PA 191021101

    Phone: (215) 762-7916

    Fax: (215) 762-7765

    Type: Mailing

  • 3421 CONCORD RD

    YORK, PA 174029001

    Phone: (717) 376-1180

    Type: Mailing

  • 1088 W Baltimore Pike

    Suite 2203 RHC 2

    Media, PA 190635136

    Phone: (484) 476-8390

    Fax: (484) 476-9066

    Type: Location

  • 500 Martha Jefferson Dr

    Charlottesville, VA 229114668

    Phone: (434) 654-5260

    Type: Location

  • 824 N Military Hwy Ste 100

    Norfolk, VA 235023652

    Phone: (888) 236-2263

    Type: Location

  • 2000 Grant Ave Unit 3

    Philadelphia, PA 191154378

    Phone: (215) 333-1776

    Type: Location

  • 1402 E County Line Rd

    Indianapolis, IN 462270963

    Phone: (317) 887-7000

    Type: Location

  • 2000 GRANT AVE UNIT 3

    PHILADELPHIA, PA 191154378

    Phone: (215) 333-1776

    Type: Mailing

  • 954 ISABEL DR

    LEBANON, PA 170427482

    Phone: (717) 376-1180

    Fax: (717) 273-6937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20210701001366IGastroenterologyPATBD
I20240226003241IGastroenterologyKYTBD
I20240506004719IGastroenterologyVATBD
I20250203000657IGastroenterologyILTBD
I20251120002295IGastroenterologyINTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8277$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7554$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope2222$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2020$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk1212$0
View full utilization report →

Insurance plans in this area (ZIP 19102)

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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: 1456777069View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal MedicineTN
Nurse PractitionerKY
P S Y C H I A T R YOH
Nurse PractitionerOH
N E U R O S U R G E R YVA
Nurse PractitionerKY
Certified Clinical Nurse Specialist (Cns)OH
Neurology, Internal MedicineKY
N E U R O L O G YOH

Reviews

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Frequently asked questions

Is there an official ID for DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.) in U.S. healthcare records?
The official identifier for DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.) is NPI 1437539640.
Active or inactive — what applies to DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.)?
You should see DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.)?
DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.) is associated with Gastroenterology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.)?
Travel planning: use Philadelphia, Pennsylvania as the reference point for DR. HANISHA RAJLAKSHMI MANICKAVASAGAN (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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