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

Manthan Kimmane-Rathnakar, NP

Individual provider Nurse Practitioner · NPI 1669109682

Manthan Kimmane-Rathnakar, NP is a Nurse Practitioner in Saint Joseph, Michigan. Qualified in 2022, 4 years ago. Practices with Lakeland Hospitals at Niles and St Joseph Inc, a 135-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3950 Hollywood Rd Ste 110
Saint Joseph, MI 49085-9151
Phone: (269) 985-1000
Fax: (269) 983-3181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704316983 (MI)

Record details

NPI number1669109682
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakeland Hospitals At Niles And St Joseph Inc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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