DR. AJAYDAS THALAPPIL MANIKKAN MD, MPH
NPI 1619198439
Internal Medicine in St Louis Park, MN
About Dr. Ajaydas Thalappil Manikkan Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AJAYDAS THALAPPIL MANIKKAN MD, MPH (NPI 1619198439) is an individual internal medicine provider in St Louis Park, Minnesota, licensed in Minnesota (73088) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Ajaydas Thalappil Manikkan Md, Mph 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.
Medicare Billing Reassignment
Medicare enrollment records show Ajaydas Manikkan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Memorial Health Hospital
Acute Care Hospitals · Robbinsdale, MNPark Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNRegions Hospital
Acute Care Hospitals · Saint Paul, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST LOUIS PARK, MN 55426
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 Ajaydas Manikkan's NPI number?
The NPI number for Ajaydas Manikkan is 1619198439. It was assigned to this individual provider in the NPPES registry on May 1, 2007.
Where is Ajaydas Manikkan located?
Ajaydas Manikkan practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5000.
What is Ajaydas Manikkan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ajaydas Manikkan enrolled in Medicare?
Yes. Ajaydas Manikkan 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 organization bills Medicare for Ajaydas Manikkan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ajaydas Manikkan reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). 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 Ajaydas Manikkan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ajaydas Manikkan affiliated with any hospitals?
According to CMS data, Ajaydas Manikkan is affiliated with North Memorial Health Hospital, Park Nicollet Methodist Hospital and Regions Hospital.
When was this NPI record last updated?
The NPPES record for Ajaydas Manikkan was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Ajaydas Thalappil Manikkan, MD, MPH · NPI 1619198439
Internal Medicine physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since May 1, 2007.
## Identity
- **NPI:** 1619198439 (Entity type: Individual)
- **Enumerated:** May 1, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 73088 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6500 EXCELSIOR BLVD, St Louis Park, MN 55426-4702
- **Phone:** (952) 993-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** April 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619198439) · Data from the CMS NPPES public registry.