DR. PALANI SUDRA MANI (MD) – General Practice Physician, NPI 1063474609

DR. PALANI SUDRA MANI (MD) is a healthcare provider. based in Eagle pass, Texas. specializing in General Practice Physician. They hold the professional credentials MD. They hold a License No. G2093 (TX). The NPI Number for DR. PALANI SUDRA MANI (MD) is 1063474609

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. PALANI SUDRA MANI (MD)
NPI
1063474609
Phone
(830) 773-8917
Address
PO BOX 1470
Enumeration Date
6 April 2006
Last Update Date
16 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
5597758599
Group Practice PAC ID
0941112023
Professional Enrollment ID
I20040406000604
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. PALANI SUDRA MANI (MD)

  • PO BOX 1470

    EAGLE PASS, TX 788531470

    Phone: (830) 773-8917

    Fax: (830) 773-1892

    Type: Mailing

  • South Main Street, Oakland, Newark, New Castle County, Delaware, 19711, United States

    DEL RIO, TX 788405807

    Phone: (830) 774-5534

    Fax: (830) 774-0890

    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: 2004-04-06

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
I20040406000604IGeneral PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78853)

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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: 0941112023View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Colorectal Surgery (Proctology), General SurgeryTX
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

How do I look up DR. PALANI SUDRA MANI (MD) by NPI?
Use NPI 1063474609 when you need to reference DR. PALANI SUDRA MANI (MD) in forms, claims, or directories.
Is DR. PALANI SUDRA MANI (MD) active in the national directory?
DR. PALANI SUDRA MANI (MD)'s public NPI profile is in an active state.
What does DR. PALANI SUDRA MANI (MD) treat or focus on?
Patients typically see DR. PALANI SUDRA MANI (MD) under the specialty General Practice Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. PALANI SUDRA MANI (MD)?
The page summarizes Eagle Pass, Texas for DR. PALANI SUDRA MANI (MD); expand the address list for detail.
What if Eagle Pass, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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