DR. MANISH MANNAN (MD) – Sports Medicine (Family Medicine) Physician, NPI 1265461388

DR. MANISH MANNAN (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 01062145A (IN). The NPI Number for DR. MANISH MANNAN (MD) is 1265461388

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANISH MANNAN (MD)
NPI
1265461388
Phone
(317) 660-2173
Address
7911 Michigan Rd
Enumeration Date
1 July 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178883508
Graduation Year
1997 (29 years ago)
PAC ID
0648270926
Group Practice PAC ID
3072790682
Professional Enrollment ID
I20070110000582
Address ID
IN461424135GR1001XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

Provider Addresses for DR. MANISH MANNAN (MD)

  • 7911 Michigan Rd

    Indianapolis, IN 462681915

    Phone: (317) 660-2173

    Fax: (317) 660-2393

    Type: Location

  • Franciscan St. Francis Health, 12188B, North Meridian Street, Carmel, Hamilton County, Indiana, 46032, United States

    CARMEL, IN 460324840

    Phone: (317) 660-2173

    Fax: (317) 660-2393

    Type: Location

  • PO BOX 80158

    INDIANAPOLIS, IN 462800158

    Phone: (317) 660-2173

    Fax: (317) 660-2393

    Type: Mailing

  • 8087 CASTLETON RD

    INDIANAPOLIS, IN 462502053

    Phone: (317) 660-2173

    Fax: (317) 660-2393

    Type: Location

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: 2007-01-10

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
I20070110000582IFamily PracticeINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes247231$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen9594$0
81001Manual urinalysis test with examination using microscope, automated7067$0
99212Established patient office or other outpatient visit, 10-19 minutes5050$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 46268)

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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: 3072790682View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MANISH MANNAN (MD)?
NPI 1265461388 is assigned to DR. MANISH MANNAN (MD) under the national enumeration system.
Is DR. MANISH MANNAN (MD) active in the national directory?
DR. MANISH MANNAN (MD)'s public NPI profile is in an active state.
Does DR. MANISH MANNAN (MD) list a primary specialty?
If you are matching referrals, note Sports Medicine (Family Medicine) Physician for DR. MANISH MANNAN (MD). Clinical services aligned with this taxonomy classification.
Where is DR. MANISH MANNAN (MD)'s primary listing?
We display Indianapolis, Indiana because that is what the record indicates for DR. MANISH MANNAN (MD).
How can I contact DR. MANISH MANNAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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