DR. MANIVANH KEOBOUNNAM MD
NPI 1295897783
Anesthesiology in Newark, DE

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
70.19/100
CMS Quality Rating
4755 OGLETOWN-STANTON ROAD, NEWARK, DE 19718(302) 733-1000 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Manivanh Keobounnam Md NPPES

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

DR. MANIVANH KEOBOUNNAM MD (NPI 1295897783) is an individual anesthesiology provider in Newark, Delaware, licensed in Delaware (C1-0009086) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2005).

NPPES Registry Identity

NPI1295897783
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. MANIVANH KEOBOUNNAMCredential: MD
Location Address4755 OGLETOWN-STANTON ROADNewark, DE 19718
Mailing Address2 Reads Way, Suite 201New Castle, DE 19720-1630 · (302) 709-4510 · Fax (302) 356-9304
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2005
Enumeration DateDecember 14, 2006
Last NPPES UpdateMay 10, 2016
NPI 1295897783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses Licensed in DE · C1-0009086 Licensed in PA · MT185941
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

4755 OGLETOWN-STANTON ROAD, Newark, DE 19718

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. Manivanh Keobounnam Md 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 ID5799821252
PECOS Enrollment IDI20091014000246
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 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.

70.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.93
Improvement Activities40

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
4755 OGLETOWN-STANTON ROAD, MAP 1, SUITE 116
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718
Nurse Practitioner (Family)
4755 OGLETOWN-STANTON ROAD, 6TH FLOOR
NEWARK, DE 19718
Genetic Counselor, MS
4755 OGLETOWN-STANTON ROAD, RM 1988
NEWARK, DE 19718
Obstetrics & Gynecology
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718
Long Term Care Hospital
4755 OGLETOWN-STANTON ROAD, SUITE 2A00
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN-STANTON ROAD
NEWARK, DE 19718

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 Manivanh Keobounnam's NPI number?

The NPI number for Manivanh Keobounnam is 1295897783. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Manivanh Keobounnam located?

Manivanh Keobounnam practices at 4755 Ogletown-Stanton Road, Newark, DE 19718. The listed phone number is (302) 733-1000.

What is Manivanh Keobounnam's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Manivanh Keobounnam enrolled in Medicare?

Yes. Manivanh Keobounnam 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 Manivanh Keobounnam was last updated on May 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.