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

Dr. Maneesh Lall, MD

Individual provider Family Medicine Physician · NPI 1770760761

Dr. Maneesh Lall, MD is a Family Practice in Mansfield, Ohio. Qualified in 2004, 22 years ago. Practices with Genesis Medical Group, LLC, a 262-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2008
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

335 Glessner Ave Cogent-Hmp Ofc
Mansfield, OH 44903-2269
Phone: (419) 520-2379
Fax: (419) 520-2824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.095017 (OH)

Record details

NPI number1770760761
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 22, 2008
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing address1054 Crestfield St Apt 15a, Ontario, OH 44906-4015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Genesis Medical Group, Llc — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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