Surendranath Mantena, MD
NPI 1629172184 · Internal Medicine Physician · Bridgeport, CT
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surendranath Mantena, MD is a Internal Medicine Physician provider in Bridgeport, CT (NPI 1629172184).
Provider details
- NPI number
- 1629172184
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01062267A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1002 Wishard Blvd4th FlIndianapolis, IN 46202-2872Phone: (317) 692-2323Fax: (317) 656-3967
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Frequently asked questions
- What is Surendranath Mantena's NPI number?
- Surendranath Mantena's National Provider Identifier (NPI) is 1629172184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Surendranath Mantena's specialty?
- Surendranath Mantena is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Surendranath Mantena located?
- Surendranath Mantena's practice location on file with NPPES is 267 Grant St, Bridgeport, CT 06610-2870.
- What is Surendranath Mantena's phone number?
- The practice phone number listed in the NPPES registry for Surendranath Mantena is (203) 688-4748.
- Does Surendranath Mantena accept Medicare?
- Surendranath Mantena is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Surendranath Mantena's NPI active?
- Yes — Surendranath Mantena's NPI (1629172184) is active in the NPPES registry as of the last update on 2024-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.