MANI MOKALLA (MD) – Pediatrics Physician, NPI 1043243041
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
717 PEDIATRIC MEDICINE in MN
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Provider Addresses for MANI MOKALLA (MD)
Fairview Lakes Medical Center, 5200, Fairview Boulevard, Wyoming, Chisago County, Minnesota, 55092, United States
WYOMING, MN 550928013
Phone: (651) 982-7000
Type: Location
3436, 18th Avenue South, Powderhorn Park, Powderhorn, Nokomis, Minneapolis, Hennepin County, Minnesota, 55407, United States
MINNEAPOLIS, MN 554072327
Phone:
Type: Mailing
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: 2004-12-20
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 |
|---|---|---|---|---|
| I20041220000137 | I | Pediatric Medicine | MN | 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 55092)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Diagnostic Radiology | MN | |
| Nurse Practitioner | MN | |
| H E M A T O L O G Y/ O N C O L O G Y | MN | |
| Nuclear Medicine, Pediatric Medicine, Diagnostic Radiology | KY | |
| - | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| H E M A T O L O G Y/ O N C O L O G Y | MN | |
| Nurse Practitioner | MN |
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