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DR. SHAMINY ANNE MANORANJITHAN MD
NPI 1083408041
Surgery - Vascular Surgery in Grand Rapids, MI

Active since April 07, 2025PECOS Enrolled
4069 LAKE DR SE STE 312, GRAND RAPIDS, MI 49546(616) 267-8700 Get Directions Write a Review

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2026, Jun 18, 2025, Apr 7, 2025 (3 updates tracked since 2025).

About Dr. Shaminy Anne Manoranjithan Md NPPES

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

DR. SHAMINY ANNE MANORANJITHAN MD (NPI 1083408041) is an individual vascular surgery provider in Grand Rapids, Michigan, licensed in Michigan (4351054538) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083408041
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. SHAMINY ANNE MANORANJITHANCredential: MD
Location Address4069 LAKE DR SE STE 312Grand Rapids, MI 49546-8816
Mailing Address275 Michigan St Ne Fl 6Grand Rapids, MI 49503-2531 · (616) 267-8700
Phone(616) 267-8700
Sole ProprietorNo
Enumeration DateApril 7, 2025
Last NPPES UpdateMay 30, 20263 updates tracked since enumeration
NPPES CertifiedMay 30, 2026
✔ NPI 1083408041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 4351054538
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
4069 LAKE DR SE STE 312, Grand Rapids, MI 49546
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaminy Anne Manoranjithan Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

SHERI LEE TACK NP
Nurse Practitioner (Family)
4069 LAKE DR SE STE 312
GRAND RAPIDS, MI 49546
Kent County (616) 267-8700

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 Shaminy Manoranjithan's NPI number?

The NPI number for Shaminy Manoranjithan is 1083408041. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Shaminy Manoranjithan located?

Shaminy Manoranjithan practices at 4069 Lake Dr SE Ste 312, Grand Rapids, MI 49546. The listed phone number is (616) 267-8700.

What is Shaminy Manoranjithan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Shaminy Manoranjithan enrolled in Medicare?

Yes. Shaminy Manoranjithan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaminy Manoranjithan was last updated on May 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.