MANOJ ARRA (MD) – Emergency Medicine Physician, NPI 1457095036

MANOJ ARRA (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 2023035253 (MO). The NPI Number for MANOJ ARRA (MD) is 1457095036

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MANOJ ARRA (MD)
NPI
1457095036
Phone
(914) 462-8665
Address
4390 OLIVE ST
Enumeration Date
21 April 2022
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733488000
Graduation Year
2022 (4 years ago)
PAC ID
9931634078
Group Practice PAC ID
2961665369
Professional Enrollment ID
I20241126001062
Address ID
MO650653050OS54XXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,351 EMERGENCY MEDICINE in MO

Provider Addresses for MANOJ ARRA (MD)

  • 4390 OLIVE ST

    SAINT LOUIS, MO 631082622

    Phone: (914) 462-8665

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    SAINT LOUIS, MO 631101003

    Phone: (314) 747-3000

    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: 2024-11-26

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
I20241126001062IEmergency MedicineMOTBD

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 63108)

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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: 2961665369View full group profile
NameSpecialtyState
Physician AssistantMO
-MO
Family PracticeMO
Emergency Medicine, Internal MedicineMO
Emergency MedicineFL
Nurse PractitionerMO
Emergency MedicineIL
Emergency MedicineCA
Family PracticeMO
Emergency MedicineFL

Reviews

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Frequently asked questions

Where can patients find MANOJ ARRA (MD)'s NPI?
You can confirm MANOJ ARRA (MD) with NPI 1457095036; it appears in the national provider directory.
Is MANOJ ARRA (MD)'s NPI currently valid?
The extract we use shows MANOJ ARRA (MD) as active.
What does MANOJ ARRA (MD) treat or focus on?
Patients typically see MANOJ ARRA (MD) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for MANOJ ARRA (MD)?
We surface Saint Louis, Missouri for MANOJ ARRA (MD) based on available NPPES addresses.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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