MARY LOUIS MANAVALAN M.D.
NPI 1043529803
Internal Medicine in Urbana, IL

Q: What is Mary Manavalan's NPI number?

The NPI number for Mary Manavalan is 1043529803. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Q: What is Mary Manavalan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Manavalan was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 28, 2010PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(217) 383-3110(217) 244-0621 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mary Louis Manavalan M.d. NPPES

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

MARY LOUIS MANAVALAN M.D. (NPI 1043529803) is an individual internal medicine provider in Urbana, Illinois, licensed in California (A130919) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043529803

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMARY LOUIS MANAVALANCredential: M.D.

Location Address611 W PARK STUrbana, IL 61801-2500

Mailing Address1510 4th St 1Berkeley, CA 94710-1717 · (510) 525-8980 · Fax (510) 525-8982

Phone(217) 383-3110

Fax(217) 244-0621

Sole ProprietorYes

Enumeration DateSeptember 28, 2010

Last NPPES UpdateAugust 6, 2015

✔ NPI 1043529803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A130919

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

611 W PARK ST, Urbana, IL 61801

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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 (PECOS)

Mary Louis Manavalan M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Mary Manavalan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quantum Healthcare Medical Associates Inc.

1,654 mi

Hospitalist

400 N PEPPER AVE
Colton, CA 92324

Reassigned Medicare billing, California enrollment
338 clinicians in this Medicare group

NPI 1568490597 (909) 580-1000

Ca Pacs 2 Medical Group Inc

1,825 mi

Hospitalist

14766 WASHINGTON AVE
San Leandro, CA 94578

Reassigned Medicare billing, California enrollment
11 clinicians in this Medicare group

NPI 1801372669 (865) 693-1000

Cs Pacs 3 West LLC

1,827 mi

Hospitalist

1002 W FREMONT AVE
Sunnyvale, CA 94087

Reassigned Medicare billing, California enrollment
9 clinicians in this Medicare group

NPI 1073378238 (408) 739-2383

Cs Pacs 3 Ca Medical Group Inc

1,828 mi

Internal Medicine

1949 GRANT RD
Mountain View, CA 94040

Reassigned Medicare billing, California enrollment
10 clinicians in this Medicare group

NPI 1922775360 (650) 968-2990

Inpatient Consultants Of California, Inc.

1,830 mi

Hospitalist

1510 4TH STREET, SUITE 1
Berkely, CA 94710

Reassigned Medicare billing, California enrollment
35 clinicians in this Medicare group

NPI 1831134253 (510) 525-8980

California Post-Acute Medical Group 1, Inc.

1,831 mi

Hospitalist

508 WESTLINE DR
Alameda, CA 94501

Reassigned Medicare billing, California enrollment
11 clinicians in this Medicare group

NPI 1265971949 (702) 233-0684

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

499 services32 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

162 services18 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

65 services19 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

48 services16 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

48 services19 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

28 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims392 services$2.40 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier23 claims660 services$4.32 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier26 claims15,763 services$0.26 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier20 claims20 services$4.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology