DR. MANEESH MANNEM (MD) – Rheumatology Physician, NPI 1477161032

DR. MANEESH MANNEM (MD) is a healthcare provider. based in Odessa, Texas. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. T-5104 (MS). The NPI Number for DR. MANEESH MANNEM (MD) is 1477161032

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANEESH MANNEM (MD)
NPI
1477161032
Phone
(432) 703-5375
Address
701 W 5TH ST STE 3106
Enumeration Date
20 July 2020
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124269311
Graduation Year
2014 (12 years ago)
PAC ID
4688099658
Group Practice PAC ID
0244595205
Professional Enrollment ID
I20251018000158
Address ID
KY424206102HE340XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

503 RHEUMATOLOGY in TX

Provider Addresses for DR. MANEESH MANNEM (MD)

  • 701 W 5TH ST STE 3106

    ODESSA, TX 797634206

    Phone: (432) 703-5375

    Type: Mailing

  • 2500 N STATE ST

    JACKSON, MS 392164500

    Phone: (601) 984-5540

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $587.

Total Amount is formed as General ($587) + Research ($0) + Ownership ($0) = $587.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: ABBVIE INC. ($174).

Total Amount

$587

General + Research + Ownership

Payments

8

Total payment records

General Amount

$587

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

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: 2025-10-18

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
I20251014001131IRheumatologyINTBD
I20251018000158IRheumatologyKYTBD

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 79763)

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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: 0244595205View full group profile
NameSpecialtyState
-IN
Interventional Cardiology, Cardiovascular Disease (Cardiology)PA
Nurse PractitionerIN
H E M A T O L O G Y/ O N C O L O G YIN
Nurse PractitionerIN
Cardiovascular Disease (Cardiology), Interventional CardiologyOK
E N D O C R I N O L O G YIN
Cardiovascular Disease (Cardiology)IN
Interventional Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And RehabilitationIN
Endocrinology, Internal MedicineIN

Reviews

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Frequently asked questions

What federal number belongs to DR. MANEESH MANNEM (MD)?
The federal identifier for DR. MANEESH MANNEM (MD) is NPI 1477161032.
Is DR. MANEESH MANNEM (MD) currently active in the NPI registry?
CMS-published data lists DR. MANEESH MANNEM (MD) as an active registrant.
What kind of provider is DR. MANEESH MANNEM (MD)?
The page reflects Rheumatology Physician for DR. MANEESH MANNEM (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MANEESH MANNEM (MD)?
The page summarizes Odessa, Texas for DR. MANEESH MANNEM (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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