Srikrishna Mannava, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

35094076 Issued in OH

Practice address

6488 E Main St Ste 120
Reynoldsburg, OH 43068-7310

Phone

(614) 729-8483

Fax

(614) 472-8483

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Vascular SurgeryAlso: General Surgery

Education

Northeastern Ohio University College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfield Healthcare Professionals IncGroup PAC ID 4789596362, 144 clinicians

Central Ohio Vascular Care, Inc.Group PAC ID 2163858291, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
• Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330

Merit-based Incentive Payment System (MIPS)

Final score

22.92 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.39

Merit-based Incentive Payment System (MIPS)

Final score

76.95 of 100Reported as group

Quality

43.39

Promoting interoperability

100

Improvement activities

40

Cost

76.51

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Central Ohio Vascular Care, Inc.

  dba Vive Vascular

  • Vascular Surgery Physician
  • Gahanna, OH
  • NPI 1568007425
  Medicare reassignment Care Compare group NPD Authorized official
• Fairfield Healthcare Professionals Inc

  • Surgery Physician
  • Lancaster, OH
  • NPI 1457396368
  Medicare reassignment Care Compare group NPD
• Trillium Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Gahanna, OH
  • NPI 1730958067
  NPD Authorized official
• Fairfield Healthcare Professionals, Inc.

  dba Fairfield Medical Urgent Care

  • Urgent Care Clinic/Center
  • Lancaster, OH
  • NPI 1700334182
  NPD
• Loyola University Medical Center

  • General Practice Physician
  • Maywood, IL
  • NPI 1336159961
  NPD
• Columbus Radiology Corp

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1669408159

  Vascular & Interventional Radiology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairfield Medical Center

  • General Acute Care Hospital
  • Lancaster, OH
  • NPI 1467433763
  Care Compare affiliation
• Hocking Valley Community Hospital

  • Critical Access Hospital
  • Logan, OH
  • NPI 1295840007
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1780727255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 E MAIN ST STE 120",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687310",
            "telephone_number": "614-729-8483",
            "fax_number": "614-472-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6488 E MAIN ST STE 120",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687310",
            "telephone_number": "614-729-8483",
            "fax_number": "614-472-8483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Pleasantville Rd",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303312",
            "country_code": "US",
            "telephone_number": "740-687-6910",
            "fax_number": "740-689-9546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Africa Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430829830",
            "country_code": "US",
            "telephone_number": "614-729-8483",
            "fax_number": "614-472-8483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNAVA",
        "first_name": "SRIKRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35.094076",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35094076",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35094076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2978185",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmannava@vivevascular.com",
            "affiliation": "N",
            "endpointDescription": "Central Ohio Vascular Care, Inc. Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6488 E Main St Ste 120",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430687310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmannava@vivevascular.com",
            "affiliation": "N",
            "endpointDescription": "Central Ohio Vascular Care, Inc. Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "625 Africa Rd Ste 340",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430829830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• James Manassa
• Rebekah Manzo
• Tasha A Marable
• Ansenio Marshall
• Ravenne Marte
• Chenzira Njeri Martin

• Vascular Surgery Physician in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.