DR. GANESH BALA MANIAM (MD) – Dermatology Physician, NPI 1720669351

DR. GANESH BALA MANIAM (MD) is a healthcare provider. based in Kingwood, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. W0222 (TX). The NPI Number for DR. GANESH BALA MANIAM (MD) is 1720669351

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. GANESH BALA MANIAM (MD)
NPI
1720669351
Phone
(281) 973-4159
Address
22659 US-59
Enumeration Date
15 April 2021
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
2819734159
Graduation Year
2021 (5 years ago)
PAC ID
1052795036
Group Practice PAC ID
5799075917
Professional Enrollment ID
I20251017003024
Address ID
TX773394406KI22659NXXX401

Contacts

Secure Messaging
gmaniam1747807@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

1,284 DERMATOLOGY in TX

Provider Addresses for DR. GANESH BALA MANIAM (MD)

  • 22659 US-59

    Suite 140

    Kingwood, TX 77339

    Phone: (281) 973-4159

    Type: Location

  • 1 BAYLOR PLZ

    HOUSTON, TX 770303498

    Phone: (713) 798-4951

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Janssen Biotech, Inc. ($130).

Total Amount

$130

General + Research + Ownership

Payments

1

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$130
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: 2025-10-17

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
I20251017003024IDermatologyTXTBD

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 77339)

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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: 5799075917View full group profile
NameSpecialtyState
Physician AssistantTX
D E R M A T O L O G YGA
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I cross-check DR. GANESH BALA MANIAM (MD) using NPI 1720669351?
NPI 1720669351 belongs to DR. GANESH BALA MANIAM (MD); compare other details if you need extra assurance.
Is DR. GANESH BALA MANIAM (MD) shown as active in public data?
Registry records indicate DR. GANESH BALA MANIAM (MD) maintains an active NPI.
What clinical focus is listed for DR. GANESH BALA MANIAM (MD)?
At a glance, DR. GANESH BALA MANIAM (MD) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GANESH BALA MANIAM (MD)?
Directory geography for DR. GANESH BALA MANIAM (MD) centers on Kingwood, Texas.
Does DR. GANESH BALA MANIAM (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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