Prashanth Mannam

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

233520 Issued in NY

Practice address

1170 Castle Hill Ave
Bronx, NY 10462-4810

Phone

(212) 600-8540

Fax

(719) 792-6001

NPI assigned

Apr 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Prashanth Mannam Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

VSVL Medical Services PLLCGroup PAC ID 6305099094, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• VSVL Medical Services PLLC

  • Exclusive Provider Organization
  • Bronx, NY
  • NPI 1467706242
  Medicare reassignment Care Compare group Authorized official
• VSVL Medical Services LLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1932344306
  NPD Authorized official
• Premier Medical Associate PC

  • Clinic/Center
  • Bronx, NY
  • NPI 1174672240

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1104090935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624810",
            "telephone_number": "212-600-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624810",
            "telephone_number": "212-600-8540",
            "fax_number": "719-792-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNAM",
        "first_name": "PRASHANTH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03231734",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRASHANTH",
            "last_name": "MANNAM",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jerrold Mann, PT
• Mana Mann, M.D.
• Margot Mann, IBCLC, B.A., DIP. ED
• Ranon E Mann, MD
• Shari Mann, M.D.
• Anika Mannan
• Amanda Jane Mannarino, LMSW
• Fatumata Manneh, RN
• Deborah Manners-Greene, CASAC
• Kereme Manners, M.D.

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.