Moody Mankerious, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2204 Issued in TX

Practice address

8036 Camp Bowie West Blvd
Fort Worth, TX 76116-6313

Phone

(817) 494-0566

Fax

(817) 612-3157

NPI assigned

Apr 15, 2013

Last updated

Apr 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Fusion Foot and Ankle PLLCGroup PAC ID 5597006783, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Fusion Foot and Ankle, PLLC

  dba Fusion Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Fort Worth, TX
  • NPI 1659865806
  Medicare reassignment Care Compare group NPD Authorized official
• Fusion Footwear, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1720964737
  NPD
• Max Ribald DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Arlington, TX
  • NPI 1316104763
  NPD (past)
• Peter E Cornell, DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Hillsboro, TX
  • NPI 1437347366
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1093158578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 CAMP BOWIE WEST BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166313",
            "telephone_number": "817-494-0566",
            "fax_number": "817-612-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8036 CAMP BOWIE WEST BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166313",
            "telephone_number": "817-494-0566",
            "fax_number": "817-612-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Road To Six Flags W Ste 150",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760122600",
            "country_code": "US",
            "telephone_number": "817-860-9121",
            "fax_number": "817-860-9128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANKERIOUS",
        "first_name": "MOODY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Manivanh, LPC
• Sarah Manjee
• Jasmin Akber Manji
• Prema Manjunath, MD
• Basem Mankerious, PT, DPT
• Laurie Mankin, RD,LD
• Natasha Mankins, PHARMD
• Ginny M Manley, LPC-S
• Jacqueline Ann Manley, LMFT
• George Manlongat, MD

• Podiatrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.