Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ajaydas Thalappil Manikkan, MD, MPH

Individual provider Internal Medicine Physician · NPI 1619198439

Dr. Ajaydas Thalappil Manikkan, MD, MPH is an Internal Medicine in St Louis Park, Minnesota. Qualified in 2001, 25 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Illinois and Minnesota.

Years since qualifying
25
Licensed in
GA, IL, MN
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1950 West Polk Street, Chicago, IL 60612 — (312) 864-7325

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 73088 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036-124189 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 036-124189 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 059829 (GA)

Record details

NPI number1619198439
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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