Active NPI
Prashanth Sirigere Manjunath, M.D
- Interventional Pain Medicine Physician
- Kingman, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 64661
- Practice address
- 3801 Santa Rosa Dr
Kingman, AZ 86401-2311 - Phone
- (928) 681-8570
- Fax
- (928) 681-8569
- NPI assigned
- Sep 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | M11963 | ID | |
| Interventional Pain Medicine Physician | 208VP0014X | 64661 | AZ | Primary |
Addresses
Primary practice location
3801 Santa Rosa Dr
Kingman, AZ 86401-2311
Mailing address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101
Other practice location 1
2460 S Parkview Loop Ste 3
Yuma, AZ 85364-5357
Phone (928) 336-7846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
3801 Santa Rosa Dr
Kingman, AZ 86401-2311
Phone (928) 681-8570
Hospital & facility affiliations
- Kingman Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.85 of 100
- Quality
- 84.49
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 79.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M11963 | ID | MD | Pain Medicine (Anesthesiology) Physician |
| 64661 | AZ | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Healthcare, Inc | Interventional Pain Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Yuma Regional Medical Center | Interventional Pain Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Medical Diagnostic Imaging Group LTD | Past | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
3801 Santa Rosa Dr
Kingman, AZ 86401
Phone (928) 263-5000
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
2460 S Parkview Loop
Ste 3
Yuma, AZ 85364
Phone (928) 336-5483
2460 S Parkview Loop
Ste 201
Yuma, AZ 85364
Phone (928) 336-1790
Interoperability endpoints
- sirigere.manjunath.prashanth@st.direct.azkrmc.md
- sirigere.manjunath.prashanth@direct.azkrmc.md
- sirigeremanjunath.prashanth@direct.azkrmc.md
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
Interventional Pain Medicine
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
Interventional Pain Medicine
-
- Specialist
- Kingman, AZ
- NPI 1689897787
-
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
-
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1780656876
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1629227616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3269 N STOCKTON HILL RD",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093619",
"telephone_number": "928-757-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SANTA ROSA DR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864012311",
"telephone_number": "928-681-8570",
"fax_number": "928-681-8569"
}
],
"practiceLocations": [
{
"address_1": "2460 S Parkview Loop Ste 3",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853645357",
"country_code": "US",
"telephone_number": "928-336-7846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIRIGERE MANJUNATH",
"first_name": "PRASHANTH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "ID",
"license": "M11963",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AZ",
"license": "64661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.