DR. MANJULA KOTTAPALLI (MD) – Psychiatry Physician, NPI 1730201229

DR. MANJULA KOTTAPALLI (MD) is a healthcare provider. based in Lorain, Ohio. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 35-081604 (OH). The NPI Number for DR. MANJULA KOTTAPALLI (MD) is 1730201229

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANJULA KOTTAPALLI (MD)
NPI
1730201229
Phone
(440) 204-4315
Address
6140 S BROADWAY
Enumeration Date
4 April 2007
Last Update Date
1 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074237149
Graduation Year
1995 (31 years ago)
PAC ID
7911223847
Group Practice PAC ID
0446556716
Professional Enrollment ID
I20210518002530
Address ID
FL328033809OR736XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,244 PSYCHIATRY in OH

Provider Addresses for DR. MANJULA KOTTAPALLI (MD)

  • 6140 S BROADWAY

    LORAIN, OH 440533821

    Phone: (440) 204-4315

    Fax: (440) 204-4315

    Type: Mailing

  • 512 N Chestnut St

    Ravenna, OH 442662218

    Phone: (330) 296-5552

    Fax: (330) 296-1310

    Type: Location

  • 6140 S Broadway

    Lorain, OH 44053

    Phone: (440) 233-7232

    Fax: (440) 204-4315

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($53).

Total Amount

$85

General + Research + Ownership

Payments

4

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

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: 2021-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150311001445IPsychiatryOHTBD
I20210518002530IPsychiatryFLTBD

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 44053)

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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: 0446556716View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerNC
P S Y C H I A T R YND
Nurse PractitionerFL
-FL
Nurse PractitionerTN
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is DR. MANJULA KOTTAPALLI (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. MANJULA KOTTAPALLI (MD) with NPI 1730201229.
Is DR. MANJULA KOTTAPALLI (MD) still practicing?
DR. MANJULA KOTTAPALLI (MD) is currently listed as active in the public NPI registry.
What is DR. MANJULA KOTTAPALLI (MD)'s primary classification?
Psychiatry Physician is the headline specialty for DR. MANJULA KOTTAPALLI (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. MANJULA KOTTAPALLI (MD) based?
DR. MANJULA KOTTAPALLI (MD) is tied to Lorain, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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