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MANEESH KONERU
NPI 1003566456
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 28, 2022PECOS Enrolled
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-2150 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Maneesh Koneru NPPES

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

MANEESH KONERU (NPI 1003566456) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1003566456
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMANEESH KONERU
Location Address1215 LEE STCharlottesville, VA 22908-0816
Mailing Address1215 Lee St Box 800719Charlottesville, VA 22908-0816 · (434) 924-2150
Phone(434) 924-2150
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateMay 9, 2023
NPPES CertifiedMay 9, 2023
✔ NPI 1003566456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSurgeryTaxonomy 208600000X · License 125.081704 (IL)
1215 LEE ST, Charlottesville, VA 22908
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Secondary Practice Location 1

Location 1611 W Park StUrbana, IL 61801-2529 · Phone (217) 383-3311

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maneesh Koneru is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORMA BRANHAM R.N., N.P.
Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2047
FARNAZ M GAZONI MD
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
MARGARET K. SANDE M.D.
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2231
KATHERINE T, FORKIN M.D.
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
AMBER N. INOFUENTES M.D.
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4288
JOY R MILLER PNP
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-2617
DR. DARREN GUFFEY M.D.
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
SETH MORRISON MD
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-3627

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 Maneesh Koneru's NPI number?

The NPI number for Maneesh Koneru is 1003566456. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Maneesh Koneru located?

Maneesh Koneru practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2150.

What is Maneesh Koneru's specialty?

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

Is Maneesh Koneru enrolled in Medicare?

Yes. Maneesh Koneru is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maneesh Koneru was last updated on May 9, 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.