MANJU MARY JOHN
NPI 1194987313
Internal Medicine - Cardiovascular Disease in Middletown, CT

Active since June 29, 2008PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
420 SAYBROOK RD, SUITE A, MIDDLETOWN, CT 06457(860) 347-4258(860) 704-5924 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 22, 2019, Jan 18, 2016 (2 updates tracked since 2016).

About Manju Mary John NPPES

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

MANJU MARY JOHN (NPI 1194987313) is an individual cardiovascular disease provider in Middletown, Connecticut, licensed in Connecticut (052856) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1194987313
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMANJU MARY JOHN
Location Address420 SAYBROOK RD, SUITE AMiddletown, CT 06457-4747
Mailing Address420 Saybrook Rd, Ste AMiddletown, CT 06457-4747 · (860) 636-2010 · Fax (860) 636-2045
Fax(860) 704-5924
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 29, 2008
Last NPPES UpdateNovember 22, 20192 updates tracked since enumeration
✔ NPI 1194987313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 052856
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
420 SAYBROOK RD, Middletown, CT 06457

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Manju Mary John is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698992725
PECOS Enrollment IDI20140813000323
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 Manju John reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 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 19

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
487 services440 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
367 services304 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
276 services196 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
225 services177 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
140 services35 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
138 services137 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%297 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%359 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

Internal Medicine (Clinical Cardiac Electrophysiology)
420 SAYBROOK RD
MIDDLETOWN, CT 06457
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD, MIDDLESEX CARDIOLOGY ASSOCIATES
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
420 SAYBROOK RD
MIDDLETOWN, CT 06457
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD, SUITE A
MIDDLETOWN, CT 06457
Nurse Practitioner
420 SAYBROOK RD, SUITE A
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
420 SAYBROOK RD
MIDDLETOWN, CT 06457
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD
MIDDLETOWN, CT 06457
Internal Medicine (Cardiovascular Disease)
420 SAYBROOK RD, MIDDLESEX CARDIOLOGY ASSOCIATES
MIDDLETOWN, CT 06457

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 Manju John's NPI number?

The NPI number for Manju John is 1194987313. It was assigned to this individual provider in the NPPES registry on June 29, 2008.

Where is Manju John located?

Manju John practices at 420 Saybrook Rd Suite A, Middletown, CT 06457. The listed phone number is (860) 347-4258.

What is Manju John's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Manju John enrolled in Medicare?

Yes. Manju John is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Manju John's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manju John reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Manju John's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manju John accept?

Health plans from Anthem Blue Cross and Blue Shield list Manju John 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 Manju John was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.