Sudhakar B. Mannam, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MD426845 Issued in PA

Practice address

205 Easy St Ste 204
Uniontown, PA 15401-3128

Phone

(724) 812-5580

Fax

(201) 812-5682

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, OH2 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 2

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Three Rivers Pain Management Associates PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Uniontown, PA
  • NPI 1699857847
  Medicare reassignment Authorized official
• Autumn Treatment Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Washington Court House, OH
  • NPI 1225601826
  Medicare reassignment NPD
• Talbot Clinical Services of Ohio LLC

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1053902007
  Medicare reassignment NPD
• Autumn Treatment Center LLC

  • Family Medicine Physician
  • Springfield, OH
  • NPI 1104633221
  NPD
• Talbot Clinical Services of Ohio LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mount Washington, KY
  • NPI 1316646722
  NPD
• Latrobe Anesthesia Associates, Inc

  • Anesthesiology Physician
  • Latrobe, PA
  • NPI 1760488902
  NPD (past)
• Medical Frontiers, LLC

  • Pain Clinic/Center
  • Irwin, PA
  • NPI 1588754485
  NPD (past)
• SRMC Healthcare Group LLC

  • Clinical Pathology/Laboratory Medicine Physician
  • Waynesburg, PA
  • NPI 1861424525
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1386629822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W INGOMAR RD UNIT 116",
            "city": "INGOMAR",
            "state": "PA",
            "postal_code": "151276604",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EASY ST STE 204",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013128",
            "telephone_number": "724-812-5580",
            "fax_number": "201-812-5682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Elm Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Waynesburg",
            "state": "PA",
            "postal_code": "153708265",
            "country_code": "US",
            "telephone_number": "724-812-5580",
            "fax_number": "724-812-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2102 Sturbridge Ct",
            "address_purpose": "LOCATION",
            "city": "Sewickley",
            "state": "PA",
            "postal_code": "151438874",
            "country_code": "US",
            "telephone_number": "724-812-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNAM",
        "first_name": "SUDHAKAR",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD426845",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD426845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101453513",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Marie Mahoney, PTA
• Majestic Healthcare LLC
• Rhonda M Malinsky-Rockwell, SLP , CED
• Anita L Mallicone, LCSW
• Cheyenne Mallory
• Rebecca Lyn Manning, RN
• Tamaniat Manzoor, MD
• Debra Susan Marchando
• Kara Marietta, CRNP
• Nicole Marietta

• Pain Medicine Physician in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.