DR. SITARAM MANOHAR EMANI (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1174663322

DR. SITARAM MANOHAR EMANI (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in GENERAL SURGERY, CARDIAC SURGERY. They hold the professional credentials M.D.. They hold a License No. 231571 (MA). The NPI Number for DR. SITARAM MANOHAR EMANI (M.D.) is 1174663322

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SITARAM MANOHAR EMANI (M.D.)
NPI
1174663322
Phone
(617) 355-4104
Address
300 LONGWOOD AVE
Enumeration Date
7 February 2007
Last Update Date
22 October 2008

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6173556000
Graduation Year
1997 (29 years ago)
PAC ID
4385786854
Group Practice PAC ID
4789658717
Professional Enrollment ID
I20100121000382
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,028 GENERAL SURGERY in MA

Provider Addresses for DR. SITARAM MANOHAR EMANI (M.D.)

  • 300 LONGWOOD AVE

    FA-144

    BOSTON, MA 021155724

    Phone: (617) 355-4104

    Fax: (617) 730-0214

    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: 2010-01-21

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
I20100121000382ICardiac SurgeryMATBD

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.

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

Insurance plans in this area (ZIP 02115)

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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: 4789658717View full group profile
NameSpecialtyState
Physician AssistantMA
Cardiac SurgeryCA
Cardiac SurgeryMA
Cardiac Surgery, General SurgeryMA
Cardiac Surgery, Cardiovascular Disease (Cardiology)MA
-MA

Reviews

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Frequently asked questions

Where can patients find DR. SITARAM MANOHAR EMANI (M.D.)'s NPI?
You can confirm DR. SITARAM MANOHAR EMANI (M.D.) with NPI 1174663322; it appears in the national provider directory.
Does this profile mean DR. SITARAM MANOHAR EMANI (M.D.) is currently active?
Yes — DR. SITARAM MANOHAR EMANI (M.D.) appears active in the national provider directory.
What does DR. SITARAM MANOHAR EMANI (M.D.) treat or focus on?
Patients typically see DR. SITARAM MANOHAR EMANI (M.D.) under the specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Does DR. SITARAM MANOHAR EMANI (M.D.) practice in Massachusetts?
You will see Boston, Massachusetts on file for DR. SITARAM MANOHAR EMANI (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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