DR. MANISHA S PATWARDHAN (M.D.) – Adolescent Medicine (Internal Medicine) Physician, NPI 1790755536

DR. MANISHA S PATWARDHAN (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2000169533 (MO). The NPI Number for DR. MANISHA S PATWARDHAN (M.D.) is 1790755536

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANISHA S PATWARDHAN (M.D.)
NPI
1790755536
Phone
(636) 566-8155
Address
PO BOX 958946
Enumeration Date
24 January 2006
Last Update Date
19 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6364962000
Graduation Year
1990 (36 years ago)
PAC ID
5193708410
Group Practice PAC ID
4385803931
Professional Enrollment ID
I20040609000243
Address ID
MO630262394FE1015XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,190 INTERNAL MEDICINE in MO

Provider Addresses for DR. MANISHA S PATWARDHAN (M.D.)

  • PO BOX 958946

    SAINT LOUIS, MO 631958946

    Phone: (636) 566-8155

    Fax: (314) 566-8732

    Type: Mailing

  • 14314 MANDERLEIGH WOODS DR

    CHESTERFIELD, MO 630178055

    Phone: (636) 566-8155

    Fax: (314) 566-8732

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2004-06-09

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
I20040609000243IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes923266$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes399185$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes289239$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes14078$0
99316Nursing facility discharge management, more than 30 minutes8272$0
View full utilization report →

Insurance plans in this area (ZIP 63195)

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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: 4385803931View full group profile
NameSpecialtyState
Internal MedicineMO

Reviews

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Frequently asked questions

Can I verify DR. MANISHA S PATWARDHAN (M.D.) with an NPI only?
You can start verification with NPI 1790755536 for DR. MANISHA S PATWARDHAN (M.D.), then check state licensing separately.
Does the file indicate DR. MANISHA S PATWARDHAN (M.D.) is practicing under active NPI?
Directory data currently reports DR. MANISHA S PATWARDHAN (M.D.) as active.
What is DR. MANISHA S PATWARDHAN (M.D.)'s primary classification?
Adolescent Medicine (Internal Medicine) Physician is the headline specialty for DR. MANISHA S PATWARDHAN (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MANISHA S PATWARDHAN (M.D.)?
DR. MANISHA S PATWARDHAN (M.D.)'s geographic hint is Saint Louis, Missouri in our summary view.
Is the information about DR. MANISHA S PATWARDHAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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