MR. PRADEEP K MANUDHANE (MD) – Psychiatry Physician, NPI 1316991599

MR. PRADEEP K MANUDHANE (MD) is a healthcare provider. based in Canton, Ohio. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 35057509 (OH). The NPI Number for MR. PRADEEP K MANUDHANE (MD) is 1316991599

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MR. PRADEEP K MANUDHANE (MD)
NPI
1316991599
Phone
(330) 493-4553
Address
624 MARKET AVE N
Enumeration Date
20 May 2006
Last Update Date
15 February 2024

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3304934553
Graduation Year
1987 (39 years ago)
PAC ID
8729015938
Group Practice PAC ID
2466485800
Professional Enrollment ID
I20050720000000
Address ID
OH447021017CA624XXNXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,244 PSYCHIATRY in OH

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Provider Addresses for MR. PRADEEP K MANUDHANE (MD)

  • 624, Market Avenue North, Upper Downtown Canton Historic District, Canton, Stark County, Ohio, 44702, United States

    CANTON, OH 447021017

    Phone: (330) 493-4553

    Fax: (330) 493-3761

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 683 Open Payments records for all available years, with a total value of $498,094.

Total Amount is formed as General ($498,094) + Research ($0) + Ownership ($0) = $498,094.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($122,011).

Total Amount

$498,094

General + Research + Ownership

Payments

683

Total payment records

General Amount

$498,094

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2005-07-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050720000000IPsychiatryOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14957$0
90833Psychotherapy with evaluation and management visit, 30 minutes8732$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional6415$0
99215Established patient office or other outpatient visit, 40-54 minutes3120$0
View full utilization report →

Insurance plans in this area (ZIP 44702)

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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: 2466485800View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OH
Mental Health CounselorOH
-OH
P S Y C H I A T R YOH
-OH
Nurse PractitionerOH
Mental Health CounselorOH
-OH
-OH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What number should I use to identify MR. PRADEEP K MANUDHANE (MD) for billing?
Administrative and clinical systems typically use NPI 1316991599 for MR. PRADEEP K MANUDHANE (MD).
Does the public listing show MR. PRADEEP K MANUDHANE (MD) as active?
MR. PRADEEP K MANUDHANE (MD)'s NPI record reflects an active status in NPPES.
What services align with MR. PRADEEP K MANUDHANE (MD)'s listing?
MR. PRADEEP K MANUDHANE (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is MR. PRADEEP K MANUDHANE (MD) tied to Canton, Ohio?
If you are local to Canton, Ohio, MR. PRADEEP K MANUDHANE (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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