MANOJ KUMAR PILLA MD
NPI 1629453915
Hospitalist in Appleton, WI

Q: What is Manoj Kumar Pilla's NPI number?

The NPI number for Manoj Kumar Pilla is 1629453915. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Q: What is Manoj Kumar Pilla's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Manoj Kumar Pilla was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 28, 2015PECOS EnrolledAccepts Medicare Assignment

1818 N MEADE ST, APPLETON, WI 54911(920) 735-7645(920) 735-7618 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Manoj Kumar Pilla Md NPPES

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

MANOJ KUMAR PILLA MD (NPI 1629453915) is an individual hospitalist provider in Appleton, Wisconsin, licensed in Wisconsin (72433) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629453915

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMANOJ KUMAR PILLACredential: MD

Location Address1818 N MEADE STAppleton, WI 54911-3454

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 454-4101 · Fax (920) 830-5910

Phone(920) 735-7645

Fax(920) 735-7618

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 28, 2015

Last NPPES UpdateJune 25, 2020

NPPES CertifiedJune 25, 2020

✔ NPI 1629453915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 72433

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125066798 (IL)

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 8136 (NE)

1818 N MEADE ST, Appleton, WI 54911

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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

Manoj Kumar Pilla 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 ID2264782499

PECOS Enrollment IDI20200710003056

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

167 services162 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

81 services81 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521334

Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County

Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521346

Location100 County Rd BShawano, WI 54166 · Shawano County

Emergency services Birthing friendly

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521355

Location225 Memorial DriveBerlin, WI 54923 · Green Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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. THERESA ANN HAGMAN PTA

Physical Therapy Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

HANNA ROSE SIPPEL PA

Physician Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

ANN M HEFTER AGACNP-BC, MSN, BSN

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

DESSIA J LAXTON APNP

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

MISS AMBER LYNN NEVALA CST

Specialist/Technologist, Other (Surgical Assistant)

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (906) 280-5495

DAVID MICHAEL DENELL MPT LAT/C

Physical Therapist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

PHILIP ANTHONY VOGT MD

Surgery

1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911

Outagamie County (920) 731-8289

SYED TAIMUR ALI M.D.

Hospitalist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

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 Kumar Pilla's NPI number?

The NPI number for Manoj Kumar Pilla is 1629453915. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Manoj Kumar Pilla located?

Manoj Kumar Pilla practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 735-7645.

What is Manoj Kumar Pilla's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Manoj Kumar Pilla enrolled in Medicare?

Yes. Manoj Kumar Pilla 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.

What insurance does Manoj Kumar Pilla accept?

Health plans from CareSource (Common Ground Healthcare) list Manoj Kumar Pilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Manoj Kumar Pilla affiliated with any hospitals?

According to CMS data, Manoj Kumar Pilla is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Thedacare Medical Center-Waupaca, Thedacare Medical Center - Shawano and Berlin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Manoj Kumar Pilla was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.