Individual provider Active NPI

Malika Manyam, M.D.

  • Internal Medicine Physician
  • Reston, VA
National Provider Identifier
1013148576
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101251555 Issued in VA
Practice address
1860 Town Center Dr Ste 340
Reston, VA 20190-5912
Phone
(703) 943-7475
NPI assigned
Aug 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101251555 VA
Hospitalist Physician 208M00000X MD22981 ME
Hospitalist Physician 208M00000X 52199 TN
Internal Medicine Physician 207R00000X 0101251555 VA Primary

Addresses

Primary practice location

1860 Town Center Dr Ste 340
Reston, VA 20190-5912

Mailing address

PO Box 2695
Reston, VA 20195-0695
Phone (703) 943-7475

Other practice location 1

1060 First Colonial Rd
Virginia Beach, VA 23454-3002
Phone (757) 395-2323

Other practice location 2

46 Fairview Ave
Skowhegan, ME 04976-1481
Phone (207) 474-5121

Other practice location 3

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1110

Other identifiers 2

IdentifierTypeStateIssuer
1013148576MedicaidVA
1013148576MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, DC, ME, HI5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20140318001085 VA Practitioner - HospitalistPractitioner - Internal Medicine 5092963512 Reassigns benefits to 3 organizations
I20150610002013 TN Practitioner - Internal Medicine 5092963512 Reassigns benefits to 3 organizations
I20180116001180 DC Practitioner - Internal Medicine 5092963512 Reassigns benefits to 3 organizations
I20190502001433 ME Practitioner - HospitalistPractitioner - Internal Medicine 5092963512 Reassigns benefits to 3 organizations
I20220719002020 HI Practitioner - Hospitalist 5092963512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians
Fair Oaks Hospitalist Physicians, PLLCGroup PAC ID 1052419868, 63 clinicians
Redington-Fairview General HospitalGroup PAC ID 9133018740, 50 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2499

1380 Lusitana St
Honolulu, HI 96813-2448

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1000

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3558

46 Fairview Ave
Skowhegan, ME 04976-1481
Phone (207) 474-5121

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1370

Hospital & facility affiliations

  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Redington Fairview General Hospital Hospital, Skowhegan, ME, CCN 201314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101251555VAMDInternal Medicine Physician
MD22981MEMDHospitalist Physician
52199TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Jan 1, 2016 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 29, 2019 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Oct 11, 2021 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Nov 4, 2017 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Aug 23, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 29, 2019 Accepting new patients
Queens University Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2018 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 1, 2016 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2018 Accepting new patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Dec 1, 2019 Accepting new patients
Fair Oaks Hospitalist Physicians, PLLC Hospitalist CurrentSince Dec 13, 2023 Accepting new patients
Inova Health Care Services CurrentSince Nov 4, 2017 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

149 North St
Waterville, ME 04901
Phone (207) 622-1959

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1931 Medical Ave
Harrisonburg, VA 22801
Phone (540) 564-5400

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

Interoperability endpoints

  • Direct secure messaging: mmanyam221336@direct.sentara.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1013148576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2695",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201950695",
            "telephone_number": "703-943-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 340",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905912",
            "telephone_number": "703-943-7475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 First Colonial Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543002",
            "country_code": "US",
            "telephone_number": "757-395-2323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Skowhegan",
            "state": "ME",
            "postal_code": "049761481",
            "country_code": "US",
            "telephone_number": "207-474-5121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Health Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANYAM",
        "first_name": "MALIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-01",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101251555",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD22981",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "52199",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101251555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013148576",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013148576",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.