DR. MANTHAN RAMKISHAN MIRANI – Sports Medicine (Family Medicine) Physician, NPI 1699359869
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for DR. MANTHAN RAMKISHAN MIRANI
1760 Old Meadow Rd Ste 220
Mc Lean, VA 221024330
Phone: (703) 828-8066
Fax: (855) 461-1618
Type: Location
3001 Hospital Dr
Cheverly, MD 207851189
Phone: (301) 618-2273
Type: Location
3001 HOSPITAL DR
CHEVERLY, MD 207851189
Phone: (301) 618-2273
Type: Location
726 ROCKVILLE PIKE
ROCKVILLE, MD 208521133
Phone: (240) 238-0411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $11,928.
Total Amount is formed as General ($11,928) + Research ($0) + Ownership ($0) = $11,928.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Arthrex, Inc. ($10,000).
Total Amount
$11,928
General + Research + Ownership
Payments
4
Total payment records
General Amount
$11,928
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $10,000 |
| Smith+Nephew, Inc. | $1,750 |
| Bioventus LLC | $112 |
| Prime Surgical, LLC | $66 |
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: 2023-10-26
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 |
|---|---|---|---|---|
| I20231026001629 | I | Family Practice | MD | TBD |
| I20231026002738 | I | Family Practice | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22102)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Sports Medicine | HI | |
| Family Practice | MD | |
| Physician Assistant | MD | |
| Sports Medicine | OH | |
| - | VA | |
| - | FL | |
| Physician Assistant | VA | |
| Physical Medicine And Rehabilitation | DC | |
| Physician Assistant | DC | |
| Physician Assistant | GA |
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