GURUPRASAD MANJUNATH (M.D.) – Nephrology Physician, NPI 1386640530

GURUPRASAD MANJUNATH (M.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 49428 (MN). The NPI Number for GURUPRASAD MANJUNATH (M.D.) is 1386640530

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
GURUPRASAD MANJUNATH (M.D.)
NPI
1386640530
Phone
(405) 942-5442
Address
3366 NW EXPRESSWAY
Enumeration Date
22 June 2005
Last Update Date
3 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4059425442
Graduation Year
1994 (32 years ago)
PAC ID
0840392536
Group Practice PAC ID
7618904988
Professional Enrollment ID
I20100420000749
Address ID
OK731124489OK3366XEXPR301
Telehealth
Yes
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

123 NEPHROLOGY in OK

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Provider Addresses for GURUPRASAD MANJUNATH (M.D.)

  • Northwest Expressway, Oklahoma City, Oklahoma County, Oklahoma, 73116-1530, United States

    SUITE 550

    OKLAHOMA CITY, OK 731124462

    Phone: (405) 942-5442

    Fax: (405) 942-6448

    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 7 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Recor Medical Inc ($45).

Total Amount

$143

General + Research + Ownership

Payments

7

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

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: 2010-04-20

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
I20100420000749INephrologyOKTBD

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 minutes388249$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)32641$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes314124$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes292111$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8382$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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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: 7618904988View full group profile
NameSpecialtyState
N E P H R O L O G YOK
N E P H R O L O G YOK
N E P H R O L O G YOK
Nurse PractitionerOK
Nephrology, Internal MedicineOK
Physician AssistantOK
N E P H R O L O G YOK
N E P H R O L O G YOK
N E P H R O L O G YOK
N E P H R O L O G YOK

Reviews

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Frequently asked questions

What number should I use to identify GURUPRASAD MANJUNATH (M.D.) for billing?
Administrative and clinical systems typically use NPI 1386640530 for GURUPRASAD MANJUNATH (M.D.).
Should I treat GURUPRASAD MANJUNATH (M.D.) as an active provider?
Patients and plans typically see GURUPRASAD MANJUNATH (M.D.) as active in the national extract.
What does the directory say GURUPRASAD MANJUNATH (M.D.) does?
Insurance directories may phrase it differently, but here GURUPRASAD MANJUNATH (M.D.) maps to Nephrology Physician. Clinical services aligned with this taxonomy classification.
Is GURUPRASAD MANJUNATH (M.D.) tied to Oklahoma City, Oklahoma?
If you are local to Oklahoma City, Oklahoma, GURUPRASAD MANJUNATH (M.D.) may be relevant to your search.
Can I export GURUPRASAD MANJUNATH (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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