Sirisha Manyam, DO

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

5101021081 Issued in MI

Practice address

302 Kensington Ave
Flint, MI 48503-2044

Phone

(810) 762-8200

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Genesee Hematology-Oncology, P.C.

  • Hematology & Oncology Physician
  • Flint, MI
  • NPI 1902977101

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1962795013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANYAM",
        "first_name": "SIRISHA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "5101021081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Mansour, PA
• Mohamed Mansour, MD
• Sandra Mens Manssur, NP
• Angeli V Mantos
• Tintin Llena Manuela Abad, M.D.
• Vani Manyam, M.D.
• Stacey Anne Mapes, OTRL,CHT,CLT,LMT
• Christine Mapham
• Maple Healthcare Medical Center P.C.
• Taylor McKae Maples

• Hematology & Oncology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.