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

VENKAT SANJAY REDDY MANUBOLU MD
NPI 1437576824
Internal Medicine - Cardiovascular Disease in Marina Del Rey, CA

Active since March 24, 2014PECOS Enrolled
4640 ADMIRALTY WAY STE 909, MARINA DEL REY, CA 90292(310) 673-3945 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2025, Jun 20, 2018, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

About Venkat Sanjay Reddy Manubolu Md NPPES

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

VENKAT SANJAY REDDY MANUBOLU MD (NPI 1437576824) is an individual cardiovascular disease provider in Marina Del Rey, California, licensed in California (A153613) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1437576824
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameVENKAT SANJAY REDDY MANUBOLUCredential: MD
Location Address4640 ADMIRALTY WAY STE 909Marina Del Rey, CA 90292-6672
Mailing Address4140 W 190th St Fl 2Torrance, CA 90504-5513 · (424) 522-7100 · Fax (424) 522-7234
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 24, 2014
Last NPPES UpdateOctober 21, 20266 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1437576824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A153613
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4640 ADMIRALTY WAY STE 909, Marina Del Rey, CA 90292

Secondary Practice Locations 3

Location 1269 Union StLynn, MA 01901-1314 · Phone (781) 581-3900
Location 24500 N Shallowford RdAtlanta, GA 30338-6476 · Phone (409) 692-0949
Location 31313 E Herndon Ave Ste 105Fresno, CA 93720 · Phone (559) 450-5375

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Venkat Sanjay Reddy Manubolu 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 ID5294039905
PECOS Enrollment IDI20220805002126
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

2

Medicare enrollment records show Venkat Sanjay Reddy Manubolu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
Hospitalist
250 E RINCON ST STE 106
Corona, CA 92879
  • Reassigned Medicare billing, California enrollment
  • 123 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 90292 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Venkat Sanjay Reddy Manubolu's NPI number?

The NPI number for Venkat Sanjay Reddy Manubolu is 1437576824. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Venkat Sanjay Reddy Manubolu located?

Venkat Sanjay Reddy Manubolu practices at 4640 Admiralty Way Ste 909, Marina Del Rey, CA 90292. The listed phone number is (310) 673-3945.

What is Venkat Sanjay Reddy Manubolu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Venkat Sanjay Reddy Manubolu enrolled in Medicare?

Yes. Venkat Sanjay Reddy Manubolu 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.

Which organizations bill Medicare for Venkat Sanjay Reddy Manubolu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venkat Sanjay Reddy Manubolu reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Hospitalist Group Of Montebello Inc (Corona, CA). 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 Venkat Sanjay Reddy Manubolu'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 Venkat Sanjay Reddy Manubolu was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.