DR. MANJU KORATTIYIL MD
NPI 1609230879
Pediatrics - Pediatric Emergency Medicine in St Petersburg, FL

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
501 6TH ST S, ST PETERSBURG, FL 33701(727) 898-7451 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2023, Dec 7, 2020, Oct 16, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Manju Korattiyil Md NPPES

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

DR. MANJU KORATTIYIL MD (NPI 1609230879) is an individual pediatric emergency medicine provider in St Petersburg, Florida, licensed in Florida (ME156403) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Florida International Univ, College Of Medicine (2016).

NPPES Registry Identity

NPI1609230879
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. MANJU KORATTIYILCredential: MD
Location Address501 6TH ST SSt Petersburg, FL 33701-4630
Mailing Address501 6th St SSt Petersburg, FL 33701-4630 · (727) 898-7451
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2016
Enumeration DateApril 13, 2016
Last NPPES UpdateMarch 8, 20234 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
NPI 1609230879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in FL · ME156403
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License S1433 (TX)
501 6TH ST S, St Petersburg, FL 33701

Secondary Practice Locations 2

Location 17601 Preston RdDallas, TX 75225-6722 · Phone (469) 303-7000
Location 21935 Medical District DrDallas, TX 75235-7701 · Phone (214) 456-2014

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. Manju Korattiyil 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 ID2668883992
PECOS Enrollment IDI20220601001727
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.

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.

Radiology (Diagnostic Radiology)
501 6TH ST S
ST PETERSBURG, FL 33701
Pediatrics (Pediatric Cardiology)
501 6TH ST S, 2ND FLR, DEPT 7130
ST PETERSBURG, FL 33701
Pediatrics (Pediatric Hematology-Oncology)
501 6TH ST S
ST PETERSBURG, FL 33701
Pediatrics (Pediatric Emergency Medicine)
501 6TH ST S
ST PETERSBURG, FL 33701
Anesthesiology (Pediatric Anesthesiology)
501 6TH ST S
ST PETERSBURG, FL 33701
Social Worker
501 6TH ST S
ST PETERSBURG, FL 33701
Pediatrics (Sports Medicine)
501 6TH ST S
ST PETERSBURG, FL 33701
Pediatrics (Pediatric Critical Care Medicine)
501 6TH ST S
ST PETERSBURG, FL 33701

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 Manju Korattiyil's NPI number?

The NPI number for Manju Korattiyil is 1609230879. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Manju Korattiyil located?

Manju Korattiyil practices at 501 6th St S, St Petersburg, FL 33701. The listed phone number is (727) 898-7451.

What is Manju Korattiyil's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Manju Korattiyil enrolled in Medicare?

Yes. Manju Korattiyil 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 Manju Korattiyil was last updated on March 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.