Individual provider Active NPI

Sumalatha Mannava, M.D.,

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1477583235
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64736 Issued in AZ
Practice address
5110 W McDowell Rd
Phoenix, AZ 85035-3862
Phone
(602) 671-7068
Fax
(602) 671-6946
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07699000 NJ
Internal Medicine Physician 207R00000X 64736 AZ Primary

Addresses

Primary practice location

5110 W McDowell Rd
Phoenix, AZ 85035-3862

Mailing address

PO Box 746093
Atlanta, GA 30374-6093
Phone (602) 671-7068

Other practice location 1

441 Boulder Dr
Morganville, NJ 07751-4270
Phone (732) 332-0574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20070712000295 NJ Practitioner - Internal Medicine 9537269071 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians

Practice addresses (Care Compare)

1043 Route 70
Suite C3
Manchester, NJ 08759-5806
Phone (732) 408-3262

1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone (848) 230-6802

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64736AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA CurrentSince Nov 5, 2017 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Oct 5, 2021 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine CurrentSince Apr 20, 2020 Accepting new patients
Jersey Irish Medical CurrentSince Jun 9, 2019 Accepting new patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Oct 2, 2021 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Nov 5, 2017 Accepting new patients
Browne Medical, LLC CurrentSince Mar 1, 2019 Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC Internal Medicine PastSince Jul 17, 2021 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380

731 Lacey Rd
Ste 1
Forked River, NJ 08731
Phone (609) 242-0040

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1043 Route 70
Ste C3
Manchester, NJ 08759
Phone (732) 408-3262

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

464 Eagle Rock Ave
Ste C
West Orange, NJ 07052
Phone (973) 669-5900

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: smannava17333@epicdirect.rwjbh.org
  • Direct secure messaging: sumalatha.mannava@direct.hackensackmeridian.org
  • Direct secure messaging: hmuhanckensackmeridian.sumalathamannava@136290.advancedmd-direct.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1477583235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "602-671-7068",
            "fax_number": "602-671-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850353862",
            "telephone_number": "602-671-7068",
            "fax_number": "602-671-6946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Boulder Dr",
            "address_purpose": "LOCATION",
            "city": "Morganville",
            "state": "NJ",
            "postal_code": "077514270",
            "country_code": "US",
            "telephone_number": "732-332-0574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNAVA",
        "first_name": "SUMALATHA",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07699000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "64736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.