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

Manikyam Mutyala, MD

Individual provider Vascular Surgery Physician · NPI 1326068198

Manikyam Mutyala, MD is a Vascular Surgery in Floral Park, New York. Qualified in 1994, 32 years ago. Practices with Tjh Medical Services PC, a 213-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2006
Specialties on file
2
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

276 85th Ave
Floral Park, NY 11001-1205
Phone: (516) 358-1674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 229717-1 (NY)
Surgery Physician Taxonomy 208600000X · Licence 229717-1 (NY)

Record details

NPI number1326068198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Tjh Medical Services Pc — 213 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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