MANNAM MEDICAL
NPI 1467706242
Exclusive Provider Organization in Bronx, NY

Active since November 01, 2012CLIA 33D2054683 · Waiver
1170 CASTLE HILL AVE, BRONX, NY 10462(718) 792-6000(718) 792-6001 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mannam Medical NPPES

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

MANNAM MEDICAL (NPI 1467706242) is a healthcare organization registered as an exclusive provider organization in Bronx, New York and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Prashanth Mannam, Md, as its authorized official.

NPPES Registry Identity

NPI1467706242
Entity TypeOrganization
Primary Taxonomy302F00000X
Legal Business NameVSVL MEDICAL SERVICES PLLC
Location Address1170 CASTLE HILL AVEBronx, NY 10462-4810
Mailing Address1170 Castle Hill AveBronx, NY 10462-4810 · (718) 792-6000 · Fax (718) 792-6001
Fax(718) 792-6001
Organization SubpartNo
Authorized OfficialPrashanth MannamMd · (718) 792-6000
Enumeration DateNovember 1, 2012
Last NPPES UpdateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
NPI 1467706242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyExclusive Provider OrganizationManaged Care Organizations
Taxonomy Code302F00000X
License Licensed in NY · 233520
Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

1170 CASTLE HILL AVE, Bronx, NY 10462

Other Names 1

Doing Business AsMannam Medical

Other Identifiers 2

Medicaid03566341NY
Medicaid03231734NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2054683

Vsvl Medical Services, PLLC Dba Mannam Medical Center · Bronx, NY
Active · expires Mar 23, 2027
CLIA Number33D2054683
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorDr. Prashanth Mannam
Laboratory Phone(718) 792-6000
Laboratory LocationVsvl Medical Services, PLLC Dba Mannam Medical Center1170 Castle Hill Avenue, Bronx, NY 10462
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Internal Medicine
1170 CASTLE HILL AVE
BRONX, NY 10462
Physician Assistant (Medical)
1170 CASTLE HILL AVE
BRONX, NY 10462

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467706242, enumerated as an "organization" on November 01, 2012.

The provider is located at 1170 CASTLE HILL AVE BRONX, NY 10462 and the phone number is (718) 792-6000.

Exclusive Provider Organization with taxonomy code 302F00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.