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NPISignal

Individual Healthcare Provider

Manasi Suhas Hulyalkar, M.D.

NPI Record: ActivePediatrics — Obesity Medicine
NPI1467803098
Fenton, Missouri

Provider's NPPES record last updated: October 2, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1467803098
Primary Specialty
Pediatrics — Obesity Medicine
Practice Location
Fenton, Missouri
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 11:27 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Obesity Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

    Taxonomy code 2080B0002X
  • Pediatrics

    Allopathic & Osteopathic Physicians

    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X

Provider-Reported License Information

Pediatrics (Illinois)
036148207
Pediatrics (Illinois)
036148207
Pediatrics (Illinois)
125.068917
Pediatrics (Missouri)
2025029192
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1203 Smizer Mill Rd Ste 108

Fenton, Missouri 63026-3483

Phone: (636) 717-1340

Record Information

Enumeration Date
June 24, 2016
Provider's NPPES Record Last Updated
October 2, 2025
Certification Date
October 2, 2025
NPISignal NPPES Dataset
August 2026

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