DR. SREENIVAS MANNAM (M.D.) – Gastroenterology Physician, NPI 1629001334

DR. SREENIVAS MANNAM (M.D.) is a healthcare provider. based in Flint, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 4301058532 (MI). The NPI Number for DR. SREENIVAS MANNAM (M.D.) is 1629001334

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. SREENIVAS MANNAM (M.D.)
NPI
1629001334
Phone
(810) 720-5130
Address
1345 WILLOWDALE CT
Enumeration Date
8 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898943278
Graduation Year
1987 (39 years ago)
PAC ID
3173582715
Group Practice PAC ID
5597659011
Professional Enrollment ID
I20041008000051
Address ID
MI487086831BA1900XAVEX303
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

649 GASTROENTEROLOGY in MI

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Provider Addresses for DR. SREENIVAS MANNAM (M.D.)

  • 1345, Willowdale Court, Flint Charter Township, Genesee County, Michigan, 48532, United States

    FLINT, MI 485324736

    Phone: (810) 720-5130

    Fax: (810) 720-4661

    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 4 Open Payments records for all available years, with a total value of $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Gilead Sciences, Inc. ($101).

Total Amount

$178

General + Research + Ownership

Payments

4

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-08

PECOS data refreshed: 2026-06-15

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
I20041008000051IGastroenterologyMITBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8786$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare7070$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope7069$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6463$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk4242$0
View full utilization report →

Insurance plans in this area (ZIP 48532)

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Provider's Procedures

DR. SREENIVAS MANNAM (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMI45385Removal of polyps or growths of large bowel using an endoscope221221

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: 5597659011View full group profile
NameSpecialtyState
Family PracticeMI
Nurse PractitionerMI
Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Interventional Cardiology, Cardiac ElectrophysiologyMI
-MI
Nurse PractitionerMI

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Frequently asked questions

Is there an official ID for DR. SREENIVAS MANNAM (M.D.) in U.S. healthcare records?
The official identifier for DR. SREENIVAS MANNAM (M.D.) is NPI 1629001334.
Is DR. SREENIVAS MANNAM (M.D.) shown as active in public data?
Registry records indicate DR. SREENIVAS MANNAM (M.D.) maintains an active NPI.
What kind of doctor is DR. SREENIVAS MANNAM (M.D.)?
DR. SREENIVAS MANNAM (M.D.) is associated with Gastroenterology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SREENIVAS MANNAM (M.D.)?
Travel planning: use Flint, Michigan as the reference point for DR. SREENIVAS MANNAM (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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