DR. MANJUNATH MIZAR PAI (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1225299845

DR. MANJUNATH MIZAR PAI (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 62017 (MN). The NPI Number for DR. MANJUNATH MIZAR PAI (MD) is 1225299845

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANJUNATH MIZAR PAI (MD)
NPI
1225299845
Phone
(612) 863-6900
Address
800 E 28TH ST STE H2100
Enumeration Date
17 June 2008
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9524427843
Graduation Year
2008 (18 years ago)
PAC ID
6002084944
Group Practice PAC ID
1254418403
Professional Enrollment ID
I20170612001455
Address ID
MN553871752WA500XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
mpi363192@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:17State licenses:3Other namesUpdated within 12 months

3,636 INTERNAL MEDICINE in MN

Provider Addresses for DR. MANJUNATH MIZAR PAI (MD)

  • 800 E 28TH ST STE H2100

    MINNEAPOLIS, MN 554073723

    Phone: (612) 863-6900

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    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: 2017-06-12

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
I20170612001455IInternal MedicineMNTBD

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
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days529318$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days409245$0
93280Programming of dual lead pacemaker system125114$0
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days12076$0
99214Established patient office or other outpatient visit, 30-39 minutes8875$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 1254418403View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)MN
Physician AssistantMN
Cardiovascular Disease (Cardiology)MN
Nurse PractitionerMN
Physician AssistantMN
Cardiovascular Disease (Cardiology)NY
Cardiovascular Disease (Cardiology), Internal MedicineMN
Cardiovascular Disease (Cardiology)MN
Internal Medicine, Cardiovascular Disease (Cardiology)MN
Cardiovascular Disease (Cardiology), Internal MedicineMN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MANJUNATH MIZAR PAI (MD)'s NPI?
Yes. DR. MANJUNATH MIZAR PAI (MD) is listed with NPI 1225299845 in the public NPI dataset.
Does the file indicate DR. MANJUNATH MIZAR PAI (MD) is practicing under active NPI?
Directory data currently reports DR. MANJUNATH MIZAR PAI (MD) as active.
What is DR. MANJUNATH MIZAR PAI (MD)'s primary classification?
Clinical Cardiac Electrophysiology Physician is the headline specialty for DR. MANJUNATH MIZAR PAI (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MANJUNATH MIZAR PAI (MD) on a map?
Expect Minneapolis, Minnesota as a primary anchor for DR. MANJUNATH MIZAR PAI (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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