Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Krishna K R Manda, MD

Individual provider Nephrology Physician · NPI 1558593095

Dr. Krishna K R Manda, MD is a Nephrology in Rockford, Illinois. Qualified in 2002, 24 years ago. Practices with Kidney Care Center Rockford LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6940 Villagreen Vw
Rockford, IL 61107-5605
Phone: (779) 774-9272
Fax: (779) 774-9273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036136899 (IL)

Record details

NPI number1558593095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2009
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022
Mailing addressPo Box 3877, Joliet, IL 60434-3877

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Kidney Care Center Rockford Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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