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

Lakshmi Manisha Mummadisingu, DPM

Individual provider Podiatrist · NPI 1780147835

Lakshmi Manisha Mummadisingu, DPM is a Podiatry in Red Bank, New Jersey. Graduated from New York College of Podiatric Medicine in 2019, 7 years ago. Practices with Sovereign Medical Group LLC, a 20-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Trained at
New York College of Podiatric Medicine
Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

130 Maple Ave Ste 3B
Red Bank, NJ 07701-1729
Phone: (732) 747-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00370200 (NJ)
Podiatrist Taxonomy 213E00000X · Licence 25MD00370200 (NJ)

Record details

NPI number1780147835
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 7, 2019
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Sovereign Medical Group Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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