SAUJANYA DEVAKI MANIKONDA MD
NPI 1255822359
Student in an Organized Health Care Education/Training Program in New Brunswick, NJ
About Saujanya Devaki Manikonda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAUJANYA DEVAKI MANIKONDA MD (NPI 1255822359) is an individual student in an organized health care education/training program in New Brunswick, New Jersey and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Saujanya Devaki Manikonda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Saujanya Manikonda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
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 Saujanya Manikonda's NPI number?
The NPI number for Saujanya Manikonda is 1255822359. It was assigned to this individual provider in the NPPES registry on May 23, 2018.
Where is Saujanya Manikonda located?
Saujanya Manikonda practices at 254 Easton Ave, New Brunswick, NJ 08901. The listed phone number is (732) 745-8600.
What is Saujanya Manikonda's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Saujanya Manikonda enrolled in Medicare?
Yes. Saujanya Manikonda is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Saujanya Manikonda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Saujanya Manikonda reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Saujanya Manikonda'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 Saujanya Manikonda was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Saujanya Devaki Manikonda, MD · NPI 1255822359
Student in an Organized Health Care Education/Training Program provider in New Brunswick, New Jersey. Individual provider, active in the CMS NPPES registry since May 23, 2018.
## Identity
- **NPI:** 1255822359 (Entity type: Individual)
- **Enumerated:** May 23, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 254 EASTON AVE, New Brunswick, NJ 08901-1766
- **Phone:** (732) 745-8600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1255822359) · Data from the CMS NPPES public registry.