Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Manogna Nookathota, MD

Individual provider Internal Medicine Physician · NPI 1538575097

Manogna Nookathota, MD is an Internal Medicine in Carbondale, Illinois. Qualified in 2009, 17 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Nebraska and New Mexico.

Years since qualifying
17
Licensed in
IL, NE, NM
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 529-0479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD2022-0086 (NM)
Internal Medicine Physician Taxonomy 207R00000X · Licence 7329 (NE)
Hospitalist Physician Taxonomy 208M00000X · Licence 036143222 (IL)

Record details

NPI number1538575097
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2014
Last updated in NPPESFebruary 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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