Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SRINIVAS RAO MANDAVILLI M.D.
NPI 1255312492
Pathology - Anatomic Pathology & Clinical Pathology in East Hartford, CT

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
111 FOUNDERS PLZ, #300 C/O IPMS, EAST HARTFORD, CT 06108(860) 282-4137(860) 282-0170 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Srinivas Rao Mandavilli M.d. NPPES

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

DR. SRINIVAS RAO MANDAVILLI M.D. (NPI 1255312492) is an individual anatomic pathology & clinical pathology provider in East Hartford, Connecticut, licensed in Connecticut (036761) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1255312492
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. SRINIVAS RAO MANDAVILLICredential: M.D.
Location Address111 FOUNDERS PLZ, #300 C/O IPMSEast Hartford, CT 06108-3212
Mailing Address111 Founders Plz, #300 C/o IpmsEast Hartford, CT 06108-3212 · (860) 282-4137 · Fax (860) 282-0170
Fax(860) 282-0170
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 7, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1255312492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CT · 036761
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
111 FOUNDERS PLZ, East Hartford, CT 06108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Srinivas Rao Mandavilli M.d. 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 ID3375444128
PECOS Enrollment IDI20100702000064
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.

Areas of Expertise CMS Part B claims 7

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.

Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
170 services163 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
163 services116 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
154 services45 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
67 services40 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
51 services51 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
42 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06108 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
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Anesthesiology
111 FOUNDERS PLZ, #300 C/O IPMS
EAST HARTFORD, CT 06108
Nurse Anesthetist, Certified Registered
111 FOUNDERS PLZ, #300 C/O IPMS
EAST HARTFORD, CT 06108
Anesthesiology
111 FOUNDERS PLZ, #300 C/O IPMS
EAST HARTFORD, CT 06108
Anesthesiology
111 FOUNDERS PLZ, #300 C/O IPMS
EAST HARTFORD, CT 06108
Radiology (Diagnostic Radiology)
111 FOUNDERS PLZ, SUITE 400
EAST HARTFORD, CT 06108
Nurse Anesthetist, Certified Registered
111 FOUNDERS PLZ, #300 C/O IPMS
EAST HARTFORD, CT 06108
Nurse Anesthetist, Certified Registered
111 FOUNDERS PLZ, 300 CO IPMS
EAST HARTFORD, CT 06108
Anesthesiology
111 FOUNDERS PLZ, #300 C/O IPMS
EAST HARTFORD, CT 06108

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 Srinivas Mandavilli's NPI number?

The NPI number for Srinivas Mandavilli is 1255312492. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Srinivas Mandavilli located?

Srinivas Mandavilli practices at 111 Founders Plz #300 C/O Ipms, East Hartford, CT 06108. The listed phone number is (860) 282-4137.

What is Srinivas Mandavilli's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Srinivas Mandavilli enrolled in Medicare?

Yes. Srinivas Mandavilli 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.

When was this NPI record last updated?

The NPPES record for Srinivas Mandavilli was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.