MRIDULA MANOJ
NPI 1043950488
Dentist - General Practice in Midlothian, VA

Active since April 01, 2022Opted out of Medicare · through Sep 14, 2027
1612 HUGUENOT RD, MIDLOTHIAN, VA 23113(804) 794-9789 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mridula Manoj NPPES

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

MRIDULA MANOJ (NPI 1043950488) is an individual general practice provider in Midlothian, Virginia, licensed in Virginia (0401418552) and active in the NPI registry since April 2022. She has opted out of Medicare through September 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043950488
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMRIDULA MANOJ
Location Address1612 HUGUENOT RDMidlothian, VA 23113-2427
Mailing Address3268 Brook RdRichmond, VA 23227-4835 · (336) 803-5193
Sole ProprietorNo
Enumeration DateApril 1, 2022
Last NPPES UpdateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
NPI 1043950488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401418552
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1612 HUGUENOT RD, Midlothian, VA 23113

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mridula Manoj has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 14, 2023 through September 14, 2027.

Opt-Out Effective DateSeptember 14, 2023
Opt-Out In Effect ThroughSeptember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23113 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Dentist (General Practice)
1612 HUGUENOT RD
MIDLOTHIAN, VA 23113
Dentist (General Practice)
1612 HUGUENOT RD
MIDLOTHIAN, VA 23113
Dentist
1612 HUGUENOT RD
MIDLOTHIAN, VA 23113
Dentist (General Practice)
1612 HUGUENOT RD
MIDLOTHIAN, VA 23113
Dentist (General Practice)
1612 HUGUENOT RD
MIDLOTHIAN, VA 23113
Dentist (General Practice)
1612 HUGUENOT RD
MIDLOTHIAN, VA 23113
Dentist (General Practice)
1612 HUGUENOT RD
MIDLOTHIAN, VA 23113
Dentist (General Practice)
1612 HUGUENOT RD
MIDLOTHIAN, VA 23113

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 Mridula Manoj's NPI number?

The NPI number for Mridula Manoj is 1043950488. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Mridula Manoj located?

Mridula Manoj practices at 1612 Huguenot Rd, Midlothian, VA 23113. The listed phone number is (804) 794-9789.

What is Mridula Manoj's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mridula Manoj enrolled in Medicare?

No. Mridula Manoj has opted out of Medicare through September 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mridula Manoj accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Mridula Manoj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mridula Manoj was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.