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MANOJ PADMANABHAN DO
NPI 1477180792
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since March 25, 2020PECOS Enrolled
1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2024, Mar 25, 2020 (2 updates tracked since 2020).

About Manoj Padmanabhan Do NPPES

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

MANOJ PADMANABHAN DO (NPI 1477180792) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1477180792
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMANOJ PADMANABHANCredential: DO
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address1120 Nw 14th St # 1383Miami, FL 33136-2107 · (305) 243-2742
Phone(866) 600-2273
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1477180792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1740 W TAYLOR ST, Chicago, IL 60612
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Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 585-1111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manoj Padmanabhan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244642650
PECOS Enrollment IDI20260721003430
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 Reassignment

Medicare enrollment records show Manoj Padmanabhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward W Sparrow Hospital Association
154 mi
Pain Medicine
205 S DEXTER ST
Ionia, MI 48846
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1891486205 (616) 527-0558

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 Manoj Padmanabhan's NPI number?

The NPI number for Manoj Padmanabhan is 1477180792. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Manoj Padmanabhan located?

Manoj Padmanabhan practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (866) 600-2273.

What is Manoj Padmanabhan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Manoj Padmanabhan enrolled in Medicare?

Yes. Manoj Padmanabhan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Manoj Padmanabhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manoj Padmanabhan reassigns Medicare benefits to Edward W Sparrow Hospital Association (Ionia, MI). The 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 Manoj Padmanabhan'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 Manoj Padmanabhan was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.