DR. SRINIVAS RAO MANDAVILLI (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1255312492

DR. SRINIVAS RAO MANDAVILLI (M.D.) is a healthcare provider. based in East hartford, Connecticut. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 036761 (CT). The NPI Number for DR. SRINIVAS RAO MANDAVILLI (M.D.) is 1255312492

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. SRINIVAS RAO MANDAVILLI (M.D.)
NPI
1255312492
Phone
(860) 282-4137
Address
111 FOUNDERS PLZ
Enumeration Date
7 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036947643
Graduation Year
1987 (39 years ago)
PAC ID
3375444128
Group Practice PAC ID
8729989561
Professional Enrollment ID
I20100702000064
Address ID
CT064512101ME435XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

323 PATHOLOGY in CT

Provider Addresses for DR. SRINIVAS RAO MANDAVILLI (M.D.)

  • 111 FOUNDERS PLZ

    #300 C/O IPMS

    EAST HARTFORD, CT 061083212

    Phone: (860) 282-4137

    Fax: (860) 282-0170

    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)

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: 2010-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100702000064IPathologyCTTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity277183$0
88341Special stained specimen slides to examine tissue, each additional procedure24976$0
88112Cell examination of specimen, selective cellular enhancement technique241230$0
88173Evaluation of fine needle aspirate with interpretation and report8355$0
88342Special stained specimen slides to examine tissue, initial procedure8177$0
View full utilization report →

Insurance plans in this area (ZIP 06108)

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Provider's Procedures

DR. SRINIVAS RAO MANDAVILLI (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCT88304Pathology examination of tissue using a microscope, moderately low complexity6355
PATHOLOGYCT88307Pathology examination of tissue using a microscope, moderately high complexity13885

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: 8729989561View full group profile
NameSpecialtyState
P A T H O L O G YCT
P A T H O L O G YCT
P A T H O L O G YCT
P A T H O L O G YCT
P A T H O L O G YCT
P A T H O L O G YMA
P A T H O L O G YMA
P A T H O L O G YMA
P A T H O L O G YMD
P A T H O L O G YCT

Reviews

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Frequently asked questions

Is there an official ID for DR. SRINIVAS RAO MANDAVILLI (M.D.) in U.S. healthcare records?
The official identifier for DR. SRINIVAS RAO MANDAVILLI (M.D.) is NPI 1255312492.
Is there an active status for DR. SRINIVAS RAO MANDAVILLI (M.D.)?
For scheduling context, DR. SRINIVAS RAO MANDAVILLI (M.D.) is shown as active in the registry.
What area of care is associated with DR. SRINIVAS RAO MANDAVILLI (M.D.)?
DR. SRINIVAS RAO MANDAVILLI (M.D.)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SRINIVAS RAO MANDAVILLI (M.D.) located near East Hartford?
DR. SRINIVAS RAO MANDAVILLI (M.D.) currently maps to East Hartford, Connecticut in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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