DR. BOSE MANYAM (M.D.) – Cardiovascular Disease Physician, NPI 1811952237

DR. BOSE MANYAM (M.D.) is a healthcare provider. based in Jonesboro, Arkansas. specializing in Cardiovascular Disease Physician. They hold the professional credentials M.D.. They hold a License No. E-11902 (AR). The NPI Number for DR. BOSE MANYAM (M.D.) is 1811952237

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. BOSE MANYAM (M.D.)
NPI
1811952237
Phone
(870) 268-4404
Address
201 E OAK AVE
Enumeration Date
19 April 2006
Last Update Date
16 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709356729
Graduation Year
1974 (52 years ago)
PAC ID
6103992136
Group Practice PAC ID
8224218425
Professional Enrollment ID
I20190208001269
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BOSE MANYAM (M.D.)

  • 201, East Oak Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724014163

    Phone: (870) 268-4404

    Fax: (870) 268-4478

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Abbott Laboratories ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$17
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72401)

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Provider's Procedures

DR. BOSE MANYAM (M.D.) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)FL78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies9695

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: 8224218425View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. BOSE MANYAM (M.D.)?
DR. BOSE MANYAM (M.D.) — NPI 1811952237 — is the standard way to identify this listing.
Does CMS list DR. BOSE MANYAM (M.D.) as active?
Yes — DR. BOSE MANYAM (M.D.) is active in the NPI listing used on this page.
What is DR. BOSE MANYAM (M.D.)'s specialty?
The listing groups DR. BOSE MANYAM (M.D.) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BOSE MANYAM (M.D.) on a map?
Expect Jonesboro, Arkansas as a primary anchor for DR. BOSE MANYAM (M.D.) unless the record lists multiple sites.
Is the information about DR. BOSE MANYAM (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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