DR. MANEESH LALL (MD) – Family Medicine Physician, NPI 1770760761

DR. MANEESH LALL (MD) is a healthcare provider. based in Ontario, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35.095017 (OH). The NPI Number for DR. MANEESH LALL (MD) is 1770760761

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANEESH LALL (MD)
NPI
1770760761
Phone
Not provided
Address
1054 CRESTFIELD ST APT 15A
Enumeration Date
22 January 2008
Last Update Date
23 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404544000
Graduation Year
2004 (22 years ago)
PAC ID
4789769506
Group Practice PAC ID
7719040385
Professional Enrollment ID
I20100626000546
Address ID
OH437011406ZA2951XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

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Provider Addresses for DR. MANEESH LALL (MD)

  • 1054 CRESTFIELD ST APT 15A

    ONTARIO, OH 449064015

    Phone:

    Type: Mailing

  • OhioHealth Mansfield Hospital, 335, Glessner Avenue, Mansfield, Richland County, Ohio, 44907, United States

    COGENT-HMP OFFICE

    MANSFIELD, OH 449032269

    Phone: (419) 520-2379

    Fax: (419) 520-2824

    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: 2010-06-26

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
I20100626000546IFamily PracticeOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10198$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional6967$0
99214Established patient office or other outpatient visit, 30-39 minutes5757$0
99203New patient office or other outpatient visit, 30-44 minutes4848$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 44906)

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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: 7719040385View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationOH
U R O L O G YOH
-OH
Orthopedic SurgeryCA
-OH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Urology, Obstetrics/GynecologyOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is DR. MANEESH LALL (MD)'s NPI number?
DR. MANEESH LALL (MD)'s NPI is 1770760761 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MANEESH LALL (MD)?
For scheduling context, DR. MANEESH LALL (MD) is shown as active in the registry.
What kind of doctor is DR. MANEESH LALL (MD)?
DR. MANEESH LALL (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MANEESH LALL (MD)?
Travel planning: use Ontario, Ohio as the reference point for DR. MANEESH LALL (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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