Individual provider Active NPI

Paulrajan Manoharan, M.D.

  • Cardiovascular Disease Physician
  • McAllen, TX
National Provider Identifier
1164490074
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G1950 Issued in TX
Practice address
1801 S 5TH St Ste 114
McAllen, TX 78503-2919
Phone
(956) 362-8400
Fax
(956) 362-3651
NPI assigned
Mar 8, 2006
Last updated
May 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G1950 TX Primary

Addresses

Primary practice location

1801 S 5TH St Ste 114
McAllen, TX 78503-2919

Mailing address

PO Box 4449
McAllen, TX 78502-4449
Phone (956) 362-8400

Other identifiers 1

IdentifierTypeStateIssuer
138386114MedicaidTX

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
I20100408000355 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416954136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Cardiology GroupGroup PAC ID 9830323138, 31 clinicians

Practice addresses (Care Compare)

1200 E Savannah Ave
Suite 21
McAllen, TX 78503-1728
Phone (956) 362-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.43 of 100Reported as group
Quality
74.62
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G1950TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turtle Healthcare Group LLC CurrentSince Mar 31, 2023 Accepting new patients
Renaissance Cardiology Group Cardiovascular Disease CurrentSince Mar 24, 2015 Accepting new patients
Valley Gastroenterology Clinic, P.a. Past Accepting new patients
Valley Medical Group PLLC Cardiovascular Disease PastSince Jan 1, 1999 Accepting new patients
Diabetes and Endocrinology Clinic PA Past Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1200 E Savannah Ave
Ste 21
McAllen, TX 78503
Phone (956) 362-8400

1801 S 5th St
Ste 114
McAllen, TX 78503
Phone (956) 362-8400

1801 S 5th St
Ste 13
McAllen, TX 78503
Phone (956) 362-3300

1817 S D St
McAllen, TX 78503
Phone (956) 362-3796

500 E Ridge Rd
Ste 101
McAllen, TX 78503
Phone (956) 630-2904

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1164490074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4449",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024449",
            "telephone_number": "956-362-8400",
            "fax_number": "956-362-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST STE 114",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032919",
            "telephone_number": "956-362-8400",
            "fax_number": "956-362-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOHARAN",
        "first_name": "PAULRAJAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G1950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138386114",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.