DR. BUVANA MANICKAM (M.D) – Endocrinology, Diabetes & Metabolism Physician, NPI 1609060466

DR. BUVANA MANICKAM (M.D) is a healthcare provider. based in Edina, Minnesota. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 107177 (MN). The NPI Number for DR. BUVANA MANICKAM (M.D) is 1609060466

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. BUVANA MANICKAM (M.D)
NPI
1609060466
Phone
(952) 835-1311
Address
7500 FRANCE AVE S
Enumeration Date
4 September 2007
Last Update Date
9 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
2003 (23 years ago)
PAC ID
9739245531
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20131024001566
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
bmanickam210652@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:18State licenses:3Other namesUpdated within 12 months

194 ENDOCRINOLOGY in MN

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Provider Addresses for DR. BUVANA MANICKAM (M.D)

  • 7500, France Avenue South, Parklawn, Edina, Hennepin County, Minnesota, 55435, United States

    EDINA, MN 554353400

    Phone: (952) 835-1311

    Fax: (612) 863-1077

    Type: Mailing

  • Nicollet Mall, South 5th Street, Minneapolis, Hennepin County, Minnesota, 55415, United States

    STE. 300

    MINNEAPOLIS, MN 554022606

    Phone: (613) 333-8883

    Fax: (612) 317-6686

    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: 2013-10-24

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
I20131024001566IEndocrinologyMNTBD

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
J0897Injection, denosumab, 1 mg6,24061$0
36415Insertion of needle into vein for collection of blood sample192150$0
99214Established patient office or other outpatient visit, 30-39 minutes147118$0
96372Injection of drug or substance under skin or into muscle14464$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13344$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Provider's Procedures

DR. BUVANA MANICKAM (M.D) performs procedures in ENDOCRINOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ENDOCRINOLOGYMN83036Hemoglobin A1C level7547

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: 4587573613View full group profile

Reviews

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Frequently asked questions

Can I verify DR. BUVANA MANICKAM (M.D) with an NPI only?
You can start verification with NPI 1609060466 for DR. BUVANA MANICKAM (M.D), then check state licensing separately.
Is DR. BUVANA MANICKAM (M.D) listed as active for patients and plans?
The listing shows DR. BUVANA MANICKAM (M.D) as active in the NPI system.
What is DR. BUVANA MANICKAM (M.D)'s primary classification?
Endocrinology, Diabetes & Metabolism Physician is the headline specialty for DR. BUVANA MANICKAM (M.D) here. Clinical services aligned with this taxonomy classification.
What area does DR. BUVANA MANICKAM (M.D) serve?
DR. BUVANA MANICKAM (M.D)'s listing highlights Edina, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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