DR. MANJUNATH RACHOTEPPA BANNUR (MD) – Emergency Medicine Physician, NPI 1437319308

DR. MANJUNATH RACHOTEPPA BANNUR (MD) is a healthcare provider. based in Spearman, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD18885 (ME). The NPI Number for DR. MANJUNATH RACHOTEPPA BANNUR (MD) is 1437319308

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANJUNATH RACHOTEPPA BANNUR (MD)
NPI
1437319308
Phone
(989) 948-7719
Address
716 HANEY ST
Enumeration Date
13 June 2008
Last Update Date
7 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7139487000
Graduation Year
2005 (21 years ago)
PAC ID
6800067018
Group Practice PAC ID
7113258500
Professional Enrollment ID
I20150317000292
Address ID
TX775053959PA4500XSXXX602
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

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Provider Addresses for DR. MANJUNATH RACHOTEPPA BANNUR (MD)

  • 716, Haney Street, Spearman, Hansford County, Texas, 79081, United States

    SPEARMAN, TX 790813550

    Phone: (989) 948-7719

    Type: Mailing

  • Hansford County Hospital, 707, Roland Street, Spearman, Hansford County, Texas, 79081, United States

    SPEARMAN, TX 790813441

    Phone: (806) 659-2535

    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: 2026-03-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150317000292IFamily PracticeTXTBD
I20260305001026IEmergency MedicineFLTBD

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
99284Emergency department visit with moderate level of medical decision making5757$0
99285Emergency department visit with high level of medical decision making4542$0
99291Critical care, first 30-74 minutes4444$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 79081)

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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: 7113258500View full group profile
NameSpecialtyState
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency Medicine, Family PracticeLA
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineOK
Family PracticeWI

Reviews

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Frequently asked questions

How do I look up DR. MANJUNATH RACHOTEPPA BANNUR (MD) by NPI?
Use NPI 1437319308 when you need to reference DR. MANJUNATH RACHOTEPPA BANNUR (MD) in forms, claims, or directories.
Is DR. MANJUNATH RACHOTEPPA BANNUR (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. MANJUNATH RACHOTEPPA BANNUR (MD) treat or focus on?
Patients typically see DR. MANJUNATH RACHOTEPPA BANNUR (MD) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MANJUNATH RACHOTEPPA BANNUR (MD)?
We surface Spearman, Texas for DR. MANJUNATH RACHOTEPPA BANNUR (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.