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Deactivated NPI 1417680760 Deactivated / Inactive NPI Female Practitioner

Dr. Alisha Radhika Manocha , DO

Pediatrics • Jackson, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Alisha Manocha has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2022
NPI Deactivation Date March 13, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Alisha Manocha, DO was a registered Pediatrics in Jackson, MI. Prior to record deactivation on 2023-03-13, Dr. Manocha completed approximately 1 years of clinical practice following graduation from Michigan State University College Of Osteopathic Medicine in 2022.

Dr. Manocha did not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

Henry Ford Pediatrics - Jackson
214 N. West Ave

Jackson, MI 49201

Telephone 5172052700
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jackson, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -11.0 yrs vs City Avg
City Avg: 15.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
23 Specialists

Practicing in Jackson, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Manocha (4 Years) 4 Yrs
Jackson Specialty Average (15.0 Years) 15.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 5101028650

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1245201607

Doctor of Medicine (M.D.)

Elizabeth Cross , NP

Nurse Practitioner

NPI 1306417563

Nurse Practitioner

NPI 1679182778

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location July 03, 2025

Registered at HENRY FORD PEDIATRICS - JACKSON, 214 N. WEST AVE, JACKSON, MI 49201 (Tel: 5172052700)

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Updated Business Mailing Address July 03, 2025

Registered at HENRY FORD PEDIATRICS - JACKSON, 214 N W AVE, JACKSON, MI 49201 (Tel: 5172052700)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2025

Pediatrics (License #5101028650 in MI)

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NPI Profile Reactivated March 29, 2023

Record officially reactivated for active practice on March 29, 2023

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NPI Profile Deactivated March 13, 2023

Record deactivated on March 13, 2023

NPI Profile Active July 05, 2022

NPI status registered as active in NPPES database

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Updated Practice Location July 05, 2022

Registered at SPARROW HEALTH SYSTEMS, 1215 E MICHIGAN AVENUE, LANSING, MI 48909 (Tel: 5173642157)

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Updated Business Mailing Address July 05, 2022

Registered at SPARROW HEALTH SYSTEMS, 1215 E MICHIGAN AVENUE, LANSING, MI 48909 (Tel: 5173642157)

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Provider Name / Credentials Updated July 05, 2022

Recorded as ALISHA MANOCHA, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2022

Pediatrics (License #515101572 in MI)

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Initial NPI Registration & Enumeration July 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417680760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2022
Last Update: July 03, 2025
Deactivation Date: March 13, 2023
Sole Proprietor: No

Mailing Address

Henry Ford Pediatrics - Jackson, 214 N W Ave

Jackson, MI 49201

Phone: 5172052700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.