DR. MOHANNAD MOHAMMAD MANNAA (MD) – Pediatric Pulmonology Physician, NPI 1861423576
Pediatric Pulmonology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MOHANNAD MOHAMMAD MANNAA (MD)
1801 W Taylor St
Chicago, IL 606124795
Phone: (312) 996-7416
Type: Location
12466, Broad Oaks Drive, Colorado Springs, El Paso County, Colorado, 80921, United States
COLORADO SPRINGS, CO 809213748
Phone: (719) 488-2100
Type: Mailing
PO BOX 60352
SAINT LOUIS, MO 631600352
Phone: (314) 454-2694
Fax: (314) 454-2515
Type: Mailing
1 CHILDRENS PL
DIV PED ALLERGY/IMMUNO/PULMO
SAINT LOUIS, MO 631101002
Phone: (314) 454-2694
Fax: (314) 454-2515
Type: Location
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 $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Philips Electronics North America Corporation ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips Electronics North America Corporation | $23 |
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: 2014-11-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141105002389 | I | Pediatric Medicine | IL | TBD |
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.
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 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| Gastroenterology, Internal Medicine | WI | |
| - | IL | |
| O P H T H A L M O L O G Y | NY | |
| O T O L A R Y N G O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| G A S T R O E N T E R O L O G Y | FL |
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