DR. MANJUNATH GOVINDAIAH
NPI 1104298918
Internal Medicine in Brockton, MA
About Dr. Manjunath Govindaiah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MANJUNATH GOVINDAIAH (NPI 1104298918) is an individual internal medicine provider in Brockton, Massachusetts, licensed in Massachusetts (273292) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Manjunath Govindaiah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Manjunath Govindaiah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brockton, MA 02302
- Reassigned Medicare billing, Massachusetts enrollment
- 337 clinicians in this Medicare group
Winchester, MA 01890
- Reassigned Medicare billing, Massachusetts enrollment
- 101 clinicians in this Medicare group
Fairhaven, MA 02719
- Reassigned Medicare billing, Massachusetts enrollment
- 1,144 clinicians in this Medicare group
North Andover, MA 01845
- Reassigned Medicare billing, Massachusetts enrollment
- 13 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BROCKTON, MA 02302
BROCKTON, MA 02302
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 Manjunath Govindaiah's NPI number?
The NPI number for Manjunath Govindaiah is 1104298918. It was assigned to this individual provider in the NPPES registry on October 21, 2015.
Where is Manjunath Govindaiah located?
Manjunath Govindaiah practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7885.
What is Manjunath Govindaiah's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Manjunath Govindaiah enrolled in Medicare?
Yes. Manjunath Govindaiah is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Manjunath Govindaiah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manjunath Govindaiah reassigns Medicare benefits to 4 organizations: Sound Physicians Of Massachusetts Inc (Brockton, MA), Winchester Lahey Inpatient Specialists PLLC (Winchester, MA), Southcoast Physicians Group, Inc. (Fairhaven, MA) and Todays Wellness PLLC (North Andover, MA). 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 Manjunath Govindaiah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Manjunath Govindaiah accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Manjunath Govindaiah 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 Manjunath Govindaiah was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dr. Manjunath Govindaiah · NPI 1104298918
Internal Medicine physician in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since October 21, 2015.
## Identity
- **NPI:** 1104298918 (Entity type: Individual)
- **Enumerated:** October 21, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 273292 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 680 CENTRE ST, Brockton, MA 02302-3308
- **Phone:** (508) 941-7885 · **Fax:** (508) 941-6337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sound Physicians Of Massachusetts Inc (NPI 1740678408, Brockton, MA); Winchester Lahey Inpatient Specialists PLLC (NPI 1144770629, Winchester, MA); Southcoast Physicians Group, Inc. (NPI 1861830143, Fairhaven, MA); Todays Wellness PLLC (NPI 1891166559, North Andover, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104298918) · Data from the CMS NPPES public registry.