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

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: November 01, 2026.

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

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
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

Secondary Practice Locations 8

Location 1400 Hobart StCadillac, MI 49601-2331 · Phone (231) 876-7200
Location 22142 N Cove BlvdToledo, OH 43606-3895 · Phone (419) 291-7403
Location 3829 N Center Ave Ste 130Gaylord, MI 49735-1684 · Phone (989) 731-7930
Location 4825 N Center AveGaylord, MI 49735-1592 · Phone (989) 731-7996 · Fax (989) 731-2100
Location 51100 E Michigan AveGrayling, MI 49738-1312 · Phone (989) 348-5461
Location 61250 E Michigan Ave Ste CGrayling, MI 49738-7074 · Phone (989) 348-0550
Location 7825 Delbon AveTurlock, CA 95382-2016 · Phone (209) 664-2899 · Fax (209) 664-2897
Location 814700 Lake Shore DrCharlevoix, MI 49720-1999 · Phone (231) 547-3840

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)

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Vijay Manne reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
3901 BEAUBIEN
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 360 clinicians in this Medicare group
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 303 clinicians in this Medicare group
Rural Health
2585 W HOUGHTON LAKE DR
Prudenville, MI 48651
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
Rural Health
100 N ROLAND ST
Mc Bain, MI 49657
  • Reassigned Medicare billing, Michigan enrollment
  • 156 clinicians in this Medicare group
Family Medicine
100 N ROLAND ST
Mc Bain, MI 49657
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
Rural Health
223 N PARK ST
Boyne City, MI 49712
  • Reassigned Medicare billing, Michigan enrollment
  • 96 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.

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.

Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 BEAUBIEN ST
DETROIT, MI 48201
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201

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 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.

Where is Vijay Manne located?

Vijay Manne practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 966-0128.

What is Vijay Manne's specialty?

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

Is Vijay Manne enrolled in Medicare?

Yes. Vijay Manne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vijay Manne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Manne reassigns Medicare benefits to 6 organizations: University Pediatricians (Detroit, MI), Promedica Multi Specialty Physicians (Toledo, OH), Munson Healthcare Grayling (Prudenville, MI), Munson Healthcare Cadillac (Mc Bain, MI), Munson Healthcare Otsego Memorial Hospital (Mc Bain, MI) and 1 more organization, listed in the Medicare section above. 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 Vijay Manne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vijay Manne accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Priority Health list Vijay Manne 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 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 8 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.