DR. SAI PRASANNA MANNEM (MD) – Internal Medicine Physician, NPI 1043491129

DR. SAI PRASANNA MANNEM (MD) is a healthcare provider. based in Bellevue, Washington. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD60166525 (WA). The NPI Number for DR. SAI PRASANNA MANNEM (MD) is 1043491129

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAI PRASANNA MANNEM (MD)
NPI
1043491129
Phone
(425) 653-6350
Address
400 108TH AVE NE
Enumeration Date
17 November 2007
Last Update Date
14 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4256885234
Graduation Year
2002 (24 years ago)
PAC ID
0648452540
Group Practice PAC ID
7012808827
Professional Enrollment ID
I20110315000090
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SAI PRASANNA MANNEM (MD)

  • Washington Federal, 400, 108th Avenue Northeast, Bellevue, King County, Washington, 98004-4452, United States

    BELLEVUE, WA 980045562

    Phone: (425) 653-6350

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,468.

Total Amount is formed as General ($1,468) + Research ($0) + Ownership ($0) = $1,468.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($506).

Total Amount

$1,468

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2011-03-15

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
I20110315000090IInternal MedicineWATBD

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 98004)

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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: 7012808827View full group profile
NameSpecialtyState
N E U R O L O G YCA
P S Y C H I A T R YWA
Family PracticeWA
Family PracticeWA
Infectious Disease, Internal MedicineWA
Family PracticeWA
-WA
-WA
Family PracticeWA
Qualified Speech Language PathologistWA

Reviews

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Frequently asked questions

How do I look up DR. SAI PRASANNA MANNEM (MD) by NPI?
Use NPI 1043491129 when you need to reference DR. SAI PRASANNA MANNEM (MD) in forms, claims, or directories.
Is DR. SAI PRASANNA MANNEM (MD) active in the national directory?
DR. SAI PRASANNA MANNEM (MD)'s public NPI profile is in an active state.
What does DR. SAI PRASANNA MANNEM (MD) treat or focus on?
Patients typically see DR. SAI PRASANNA MANNEM (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SAI PRASANNA MANNEM (MD)'s primary listing?
We display Bellevue, Washington because that is what the record indicates for DR. SAI PRASANNA MANNEM (MD).
What if Bellevue, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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