VIJAY KRISHNA MANNE M.D.
NPI 1265850440
Pediatrics in Detroit, MI

Q: What is Vijay Manne's NPI number?

The NPI number for Vijay Manne is 1265850440. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Q: What is Vijay Manne's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Vijay Manne was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 03, 2014PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 966-0128 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Jul 14, 2022, Aug 6, 2019 (3 updates tracked since 2019).

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About Vijay Krishna Manne M.d. NPPES

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

VIJAY KRISHNA MANNE M.D. (NPI 1265850440) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4301500780) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of St. Louis College Of Physicians And Surgeons (2014).

NPPES Registry Identity

NPI1265850440

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameVIJAY KRISHNA MANNECredential: M.D.

Location Address3901 BEAUBIEN STDetroit, MI 48201-2119

Mailing Address9300 Valley Childrens PlMadera, CA 93636-8761 · (559) 353-5700 · Fax (559) 353-5708

Phone(313) 966-0128

Sole ProprietorYes

Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2014

Enumeration DateApril 3, 2014

Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2026

✔ NPI 1265850440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301500780

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 145445 (CA)

3901 BEAUBIEN ST, Detroit, MI 48201

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Secondary Practice Locations 8

Location 11250 E Michigan Ave Ste CGrayling, MI 49738-7074 · Phone (989) 348-0550

Location 21100 E Michigan AveGrayling, MI 49738-1312 · Phone (989) 348-5461

Location 3825 N Center AveGaylord, MI 49735-1592 · Phone (989) 731-7996 · Fax (989) 731-2100

Location 4829 N Center Ave Ste 130Gaylord, MI 49735-1684 · Phone (989) 731-7930

Location 52142 N Cove BlvdToledo, OH 43606-3895 · Phone (419) 291-7403

Location 6400 Hobart StCadillac, MI 49601-2331 · Phone (231) 876-7200

Location 714700 Lake Shore DrCharlevoix, MI 49720-1999 · Phone (231) 547-3840

Location 8825 Delbon AveTurlock, CA 95382-2016 · Phone (209) 664-2899 · Fax (209) 664-2897

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vijay Krishna Manne M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901025642

PECOS Enrollment IDI20260130002685

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 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)