Individual provider Active NPI

Crystal Murli Manohar, M.D.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1053553396
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q6444 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 567-4500
Fax
(210) 567-0083
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.097389 OH
Critical Care Medicine (Anesthesiology) Physician 207LC0200X Q6444 TX
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 35.097389 OH
Anesthesiology Physician 207L00000X Q6444 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

7703 Floyd Curl Dr # Mc7977
San Antonio, TX 78229-3901
Phone (210) 567-4500

Other practice location 1

3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (217) 417-6553

Other identifiers 2

IdentifierTypeStateIssuer
407445202MedicaidTX
407445203OtherTXCSHCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205000560 TX Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 7517393804 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Loyola University of Chicago, Stritch School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.097389OHMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Oct 25, 2019 Accepting new patients
Community Medicine Associates CurrentSince Nov 3, 2022 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 13, 2020 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Oct 25, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 13, 2020 Accepting new patients
University of Texas Health Science Center at San Antonio Anesthesiology Current Accepting new patients

Locations

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

7946 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 567-9040

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

8300 Floyd Curl Dr
Fl 6
San Antonio, TX 78229
Phone (210) 450-9400

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8311 Ewing Halsell Dr
San Antonio, TX 78229
Phone (210) 562-8000

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

7979 Wurzbach Rd
Fl 2
San Antonio, TX 78229
Phone (210) 450-1016

4940 Charles Katz
Fl 4
San Antonio, TX 78229
Phone (210) 450-9700

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

4940 Charles Katz
San Antonio, TX 78229
Phone (210) 450-9700

Interoperability endpoints

  • Direct secure messaging: cmanohar61677@direct.utmsa.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1053553396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # MC7977",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-567-4500",
            "fax_number": "210-567-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-567-4500",
            "fax_number": "210-567-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "217-417-6553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOHAR",
        "first_name": "CRYSTAL",
        "middle_name": "MURLI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.097389",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "Q6444",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "OH",
            "license": "35.097389",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q6444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407445202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "407445203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.