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SRINIWASAN MANI
NPI 1003340654
Student in an Organized Health Care Education/Training Program in Green Brook, NJ

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
1028 ROBIN CT, GREEN BROOK, NJ 08812(630) 345-0559 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, Apr 19, 2017 (2 updates tracked since 2017).

About Sriniwasan Mani NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRINIWASAN MANI (NPI 1003340654) is an individual student in an organized health care education/training program in Green Brook, New Jersey and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2017).

NPPES Registry Identity

NPI1003340654
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSRINIWASAN MANI
Location Address1028 ROBIN CTGreen Brook, NJ 08812-1736
Mailing Address1028 Robin CtGreen Brook, NJ 08812-1736 · (630) 345-0559
Phone(630) 345-0559
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2017
Enumeration DateApril 19, 2017
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
✔ NPI 1003340654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1028 ROBIN CT, Green Brook, NJ 08812
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sriniwasan Mani is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557722907
PECOS Enrollment IDI20230801002816
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sriniwasan Mani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
2,401 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000
Permanente Medical Group Inc
2,484 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sriniwasan Mani's NPI number?

The NPI number for Sriniwasan Mani is 1003340654. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Sriniwasan Mani located?

Sriniwasan Mani practices at 1028 Robin Ct, Green Brook, NJ 08812. The listed phone number is (630) 345-0559.

What is Sriniwasan Mani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sriniwasan Mani enrolled in Medicare?

Yes. Sriniwasan Mani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sriniwasan Mani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sriniwasan Mani reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sriniwasan Mani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sriniwasan Mani was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.