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DR. PREM MANCHANDA M.D.
NPI 1063578060
Internal Medicine in Fairfax, VA

Active since December 28, 2006PECOS Enrolled
4100 ORCHARD DR, FAIRFAX, VA 22032(703) 981-4865(804) 414-7762 Get Directions Write a Review

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

About Dr. Prem Manchanda M.d. NPPES

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

DR. PREM MANCHANDA M.D. (NPI 1063578060) is an individual internal medicine provider in Fairfax, Virginia, licensed in Virginia (0101057630) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063578060
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PREM MANCHANDACredential: M.D.
Location Address4100 ORCHARD DRFairfax, VA 22032-1021
Mailing Address4660 Kenmore Ave, Suiye 220Alexandria, VA 22304-1313 · (703) 910-3484 · Fax (804) 414-7762
Phone(703) 981-4865
Fax(804) 414-7762
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 16, 2020
✔ NPI 1063578060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VA · 0101057630✔ Licensed in MD · D54095
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.
4100 ORCHARD DR, Fairfax, VA 22032
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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)

Dr. Prem Manchanda 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

2

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

Inova Health Care Services
3.8 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627
Inova Physician Partners, LLC
8.2 mi
Family Medicine
3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia enrollment
  • 379 clinicians in this Medicare group
NPI 1215264916 (703) 321-2609

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 22032 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Prem Manchanda's NPI number?

The NPI number for Prem Manchanda is 1063578060. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Prem Manchanda located?

Prem Manchanda practices at 4100 Orchard Dr, Fairfax, VA 22032. The listed phone number is (703) 981-4865.

What is Prem Manchanda's specialty?

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

Is Prem Manchanda enrolled in Medicare?

Yes. Prem Manchanda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prem Manchanda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prem Manchanda reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Inova Physician Partners, LLC (Chantilly, VA). 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 Prem Manchanda'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 Prem Manchanda was last updated on November 27, 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.