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

Vivek K Manchanda, MD

Individual provider Anesthesiology Physician · NPI 1083729941

Vivek K Manchanda, MD is an Anesthesiology in O Fallon, Missouri. Qualified in 1998, 28 years ago. Practices with Carroll County Memorial Hospital, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
28
Licensed in
MO
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

4122 Keaton Crossing Blvd Ste 102
O Fallon, MO 63368-8218
Phone: (636) 329-9077
Fax: (636) 329-9076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 2006017511 (MO)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2006017511 (MO)

Record details

NPI number1083729941
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESApril 26, 2015
Mailing address4122 Keaton Crossing Blvd, Suite 102, O Fallon, MO 63368-8218

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesPAIN MANAGEMENT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Carroll County Memorial Hospital — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in O Fallon