Individual provider Active NPI

Prashanth Sirigere Manjunath, M.D

  • Interventional Pain Medicine Physician
  • Kingman, AZ
National Provider Identifier
1629227616
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
64661 Issued in AZ
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

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119001666 AZ Practitioner - Pain Management 5092966994 Reassigns benefits to 2 organizations

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
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

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 Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
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

LicenseStateTypeSpecialty
M11963IDMDPain Medicine (Anesthesiology) Physician
64661AZMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Interventional Pain Medicine Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Dec 1, 2021 Accepting new patients
Yuma Regional Medical Center Interventional Pain Medicine CurrentSince Dec 11, 2025 Accepting new patients
Kingman Healthcare, Inc CurrentSince Dec 1, 2021 Accepting new patients
Yuma Regional Medical Center CurrentSince Dec 11, 2025 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

  • Direct secure messaging: sirigere.manjunath.prashanth@st.direct.azkrmc.md
  • Direct secure messaging: sirigere.manjunath.prashanth@direct.azkrmc.md
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.