Sai Prasanna Mannem, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD60166525 Issued in WA

Practice address

400 108TH Ave NE
Bellevue, WA 98004-5562

Phone

(425) 653-6350

NPI assigned

Nov 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13603/brand/1/csg/1/fhir/r4

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.

• Overlake Medical Clinics, LLC

  • Specialist
  • Bellevue, WA
  • NPI 1801828421
  Medicare reassignment NPD
• Overlake Medical Clinics LLC

  • Specialist
  • Bellevue, WA
  • NPI 1871745703
  NPD
• Medical Arts Associates P.S

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1497827232
  NPD (past)

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1043491129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 108TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045562",
            "telephone_number": "425-653-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 108TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045562",
            "telephone_number": "425-653-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNEM",
        "first_name": "SAI PRASANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-17",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60166525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manhas Counseling Collective, LLC
• Simran Kaur Manhas, MS LMHC
• Jaimee-Lynn Molina Maninang
• Tai Chinnock Manley, PA-C
• Marisa Joi Mannari, M.O.T.
• Rachel Mannikko
• Mannys Counseling Clinic PLLC
• Younghee Kim Manogaran, MS MA
• Angel Manriquez
• Mansi Dalal Otd Otr-L PLLC

• Internal Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.