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DR. JERRY LEE MANOUKIAN MD
NPI 1457400889
Internal Medicine in Mountain View, CA

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
2500 HOSPITAL DR STE 4A, MOUNTAIN VIEW, CA 94040(650) 940-1006 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Lee Manoukian Md NPPES

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

DR. JERRY LEE MANOUKIAN MD (NPI 1457400889) is an individual internal medicine provider in Mountain View, California, licensed in California (G64508) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mountain View, and is a graduate of Hahnemann University College Of Medicine (1987).

NPPES Registry Identity

NPI1457400889
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JERRY LEE MANOUKIANCredential: MD
Location Address2500 HOSPITAL DR STE 4AMountain View, CA 94040
Mailing AddressPo Box 2742244Los Angeles, CA 90074-2244 · (650) 940-1006 · Fax (650) 940-1008
Phone(650) 940-1006
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1987
Enumeration DateJanuary 8, 2007
Last NPPES UpdateFebruary 15, 2019
✔ NPI 1457400889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G64508
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2500 HOSPITAL DR STE 4A, Mountain View, CA 94040
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Secondary Practice Location 1

Location 12500 Hospital Dr, Building 4Mountain View, CA 94040-4106 · Phone (650) 940-1006 · Fax (650) 940-1008

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. Jerry Lee Manoukian 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 ID5890856462
PECOS Enrollment IDI20081202000411
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94040 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers14 claims26 services$5.63 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$11.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$50.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY HEALTHCARE ALLIANCE
Internal Medicine
2500 HOSPITAL DR STE 4A
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 940-1006
KENNETH M WEBER MD
Obstetrics & Gynecology
2500 HOSPITAL DR STE 4A
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 940-1006

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 Jerry Manoukian's NPI number?

The NPI number for Jerry Manoukian is 1457400889. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jerry Manoukian located?

Jerry Manoukian practices at 2500 Hospital Dr Ste 4A, Mountain View, CA 94040. The listed phone number is (650) 940-1006.

What is Jerry Manoukian's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jerry Manoukian enrolled in Medicare?

Yes. Jerry Manoukian 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 Jerry Manoukian was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.