Manju Bengaluru Jayanna, MBBS
Individual provider Active NPI Interventional Cardiology Physician · Bryn Mawr, PA
NPI 1366722191 · NPPES record last updated Aug 10, 2025
Key facts
- NPI
- 1366722191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- MD473091 (PA)
- Practice address
- 825 Old Lancaster Rd Ste 400
Bryn Mawr, PA 19010-3236 - Phone
- (610) 525-1202
- Fax
- (610) 527-0643
- NPI assigned
- Aug 24, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bryn Mawr Medical Specialists Association
Practice addresses (Care Compare)
825 Old Lancaster Rd
Suite 320
Bryn Mawr, PA 19010-3235
Phone (610) 527-3800
Hospital & facility affiliations
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
- Paoli Hospital
- Riddle Memorial Hospital
- Hospital of Univ of Pennsylvania
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 70 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 14 |
| Leg revascularization (restoring blood flow) | 22 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230527000012 | PA | Practitioner - Cardiovascular Disease (Cardiology) | 8527288851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6616 | NE | MD | General Practice Dentistry |
| 42601 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryn Mawr Medical Specialists Association | Current |
Accepting new patients | |
| Main Line Healthcare | Internal Medicine | Past |
Accepting new patients |
Locations
825 Old Lancaster Rd
Ste 400
Bryn Mawr, PA 19010
Phone (610) 525-1202
825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 527-0800
825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800
Interoperability endpoints
- manju.jayanna@bmmsa.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6616 | NE | |
| Cardiovascular Disease Physician | 207RC0000X | MD473091 | PA | |
| Hospitalist Physician | 208M00000X | MD-42601 | IA | |
| Interventional Cardiology Physician | 207RI0011X | MD473091 | PA | Yes |
| Internal Medicine Physician | 207R00000X | 42601 | IA |
Addresses
Primary practice location
825 Old Lancaster Rd Ste 400
Bryn Mawr, PA 19010-3236
Mailing address
825 Old Lancaster Rd Ste 320
Bryn Mawr, PA 19010-3235
Phone (610) 527-3800
Other providers in Bryn Mawr, PA
- Christine Bell Prince
- Elizabeth Bell
- Taylor Cohen Bell
- Aakash Belsare
- Marianne D. Benash
- Valerie Anne Benner
- Jessica Benson
- Michael Robert Benzon
- Caroline B Bera
- Hava Bergdoll
All providers in Bryn Mawr, PA · Interventional Cardiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.