DR. NAYANA DEEPTI CHENNAPATNA MANJUNATH (M.D.) – Obstetrics & Gynecology Physician, NPI 1073708939
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
239 OBSTETRICS/GYNECOLOGY in RI
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Provider Addresses for DR. NAYANA DEEPTI CHENNAPATNA MANJUNATH (M.D.)
101, Ellenfield Street, Providence, Providence County, Rhode Island, 02905, United States
PROVIDENCE, RI 029054513
Phone: (401) 444-6779
Fax: (401) 444-6912
Type: Mailing
8, West River Street, Providence, Providence County, Rhode Island, 02904, United States
PROVIDENCE, RI 02904
Phone: (401) 606-3000
Fax: (401) 331-8110
Type: Location
60 MESSENGER ST
PLAINVILLE, MA 027622258
Phone: (508) 809-6379
Fax: (508) 342-1908
Type: Location
148 W River St Ste 8
Providence, RI 02904
Phone: (401) 606-3000
Fax: (401) 331-8110
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: 2025-03-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111216000297 | I | Obstetrics/Gynecology | RI | TBD |
| I20250324002903 | I | Obstetrics/Gynecology | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 02905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | RI | |
| H E M A T O L O G Y/ O N C O L O G Y | MA | |
| Physician Assistant | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| - | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA |
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