Active NPI
Vani Manyam, M.D.
- Anesthesiology Physician
- Flint, MI
National Provider Identifier
1962553685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301053827
- Practice address
- 401 S Ballenger Hwy
Flint, MI 48532-3638 - Phone
- (810) 720-1730
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301053827 | MI | Primary |
Addresses
Primary practice location
401 S Ballenger Hwy
Flint, MI 48532-3638
Mailing address
1051 Professional Dr
Flint, MI 48532-3636
Phone (810) 720-1730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2836051 | Medicaid | MI |
Other names 1
- Vani Pinnamaneni
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Medical Anesthesia, .P,C, | Anesthesiology | Past | Accepting new patients |
| Michigan Interventional Pain Associates PLLC | Anesthesiology | Past | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Anesthesiology | Past | Accepting new patients |
| The Berry Center, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- West Bloomfield, MI
- NPI 1861819161
-
- Anesthesiology Physician
- Flint, MI
- NPI 1184775819
-
- Ambulatory Surgical Clinic/Center
- Farmington Hills, MI
- NPI 1316994122
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962553685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 PROFESSIONAL DR",
"city": "FLINT",
"state": "MI",
"postal_code": "485323636",
"telephone_number": "810-720-1730",
"fax_number": "810-720-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638",
"telephone_number": "810-720-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANYAM",
"first_name": "VANI",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301053827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2836051",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VANI",
"last_name": "PINNAMANENI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.