DR. NIVETHIETHA MANIAM (M.D.) – Allergy & Immunology Physician, NPI 1578026910
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
216 ALLERGY/IMMUNOLOGY in PA
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Provider Addresses for DR. NIVETHIETHA MANIAM (M.D.)
220, Chestnut Street, Azalea Acres, Suffolk, Suffolk (city), Virginia, 23434, United States
PHILADELPHIA, PA 191074405
Phone: (215) 955-8465
Fax: (215) 955-2516
Type: Mailing
660 WHITE PLAINS RD STE 400
TARRYTOWN, NY 105915107
Phone:
Type: Mailing
2300 COMPUTER RD STE E25
WILLOW GROVE, PA 190901737
Phone: (215) 659-5480
Fax: (215) 659-5482
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $439.
Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).
Total Amount
$439
General + Research + Ownership
Payments
6
Total payment records
General Amount
$439
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $125 |
| Blueprint Medicines Corporation | $109 |
| ABBVIE INC. | $99 |
| CSL Behring | $49 |
| BioCryst US Sales Co., LLC | $43 |
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: 2024-09-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240920000086 | I | Allergy/Immunology | PA | TBD |
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.
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 19107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | NJ | |
| A L L E R G Y/ I M M U N O L O G Y | NY | |
| A L L E R G Y/ I M M U N O L O G Y | PA | |
| A L L E R G Y/ I M M U N O L O G Y | NY | |
| A L L E R G Y/ I M M U N O L O G Y | PA | |
| Allergy/Immunology, Pediatric Medicine | PA |
Reviews
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