MANI MOKALLA MD
NPI 1043243041
Pediatrics in Wyoming, MN
About Mani Mokalla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANI MOKALLA MD (NPI 1043243041) is an individual pediatrics provider in Wyoming, Minnesota, licensed in Minnesota (47244) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mani Mokalla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mani Mokalla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mani Mokalla's NPI number?
The NPI number for Mani Mokalla is 1043243041. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Mani Mokalla located?
Mani Mokalla practices at 5200 Fairview Blvd, Wyoming, MN 55092. The listed phone number is (651) 982-7000.
What is Mani Mokalla's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mani Mokalla enrolled in Medicare?
Yes. Mani Mokalla is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mani Mokalla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mani Mokalla reassigns Medicare benefits to Childrens Health Care (St Paul, MN). The 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 Mani Mokalla'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 Mani Mokalla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mani Mokalla, MD · NPI 1043243041
Pediatrics physician in Wyoming, Minnesota. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1043243041 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 47244 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5200 FAIRVIEW BLVD, Wyoming, MN 55092-8013
- **Phone:** (651) 982-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care (NPI 1225132566, St Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2001
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN H97945 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1043243041) · Data from the CMS NPPES public registry.