DR. MITHRA MANEYAPANDA (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1104189174

DR. MITHRA MANEYAPANDA (M.D.) is a healthcare provider. based in Malvern, Pennsylvania. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. MD459889 (PA). The NPI Number for DR. MITHRA MANEYAPANDA (M.D.) is 1104189174

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MITHRA MANEYAPANDA (M.D.)
NPI
1104189174
Phone
(484) 596-5400
Address
414 PAOLI PIKE
Enumeration Date
24 June 2012
Last Update Date
30 April 2019

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
4845965254
Graduation Year
2012 (14 years ago)
PAC ID
9032417936
Group Practice PAC ID
8325037724
Professional Enrollment ID
I20170713000922
Address ID
PA193553311MA414XXPIKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

878 PHYSICAL MEDICINE AND REHABILITATION in PA

Provider Addresses for DR. MITHRA MANEYAPANDA (M.D.)

  • 414 PAOLI PIKE

    MALVERN, PA 193553311

    Phone: (484) 596-5400

    Fax: (484) 413-2603

    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 1 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-01-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-18

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: 2017-07-13

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
I20170713000922IPhysical Medicine And RehabilitationPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes494108$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes41699$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes10395$0
99239Hospital discharge day management, more than 30 minutes5655$0
99213Established patient office or other outpatient visit, 20-29 minutes3821$0
View full utilization report →

Insurance plans in this area (ZIP 19355)

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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: 8325037724View full group profile
NameSpecialtyState
Physician AssistantPA
Physical Medicine And Rehabilitation, Pain ManagementPA
Physical Medicine And RehabilitationPA
Physical Medicine And RehabilitationPA
Physical Medicine And RehabilitationPA
Physical Medicine And RehabilitationPA
Physical Medicine And RehabilitationPA
-PA
Physical Medicine And RehabilitationPA
-PA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MITHRA MANEYAPANDA (M.D.)'s NPI?
Yes. DR. MITHRA MANEYAPANDA (M.D.) is listed with NPI 1104189174 in the public NPI dataset.
Does CMS list DR. MITHRA MANEYAPANDA (M.D.) as active?
Yes — DR. MITHRA MANEYAPANDA (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. MITHRA MANEYAPANDA (M.D.) hold?
Scheduling teams often label DR. MITHRA MANEYAPANDA (M.D.) under Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MITHRA MANEYAPANDA (M.D.) on a map?
Expect Malvern, Pennsylvania as a primary anchor for DR. MITHRA MANEYAPANDA (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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