Individual provider Active NPI

Manoj Das, MD

  • Nephrology Physician
  • Austin, TX
National Provider Identifier
1174873988
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
S4937 Issued in TX
Practice address
12221 N Mopac Expy Ste 100
Austin, TX 78758-2496
Phone
(512) 901-4010
Fax
(512) 901-3910
NPI assigned
Sep 19, 2012
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116027866 VA
Nephrology Physician 207RN0300X MD460594 PA
Nephrology Physician 207RN0300X S4937 TX Primary
Hospitalist Physician 208M00000X MD460594 PA

Addresses

Primary practice location

12221 N Mopac Expy Ste 100
Austin, TX 78758-2496

Mailing address

12221 N Mopac Expy
Austin, TX 78758-2496
Phone (512) 901-4010

Other practice location 1

1250 E Marshall St
Dept IM: Nephrology
Richmond, VA 23298-0160
Phone (804) 828-9683

Other practice location 2

1250 E Marshall St
Dept IM: Nephrology
Richmond, VA 23298-0160
Phone (804) 828-9683

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdas104333@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170710002537 PA Practitioner - Internal Medicine 8527375625 Reassigns benefits to 1 organization
I20231221001899 TX Practitioner - NephrologyPractitioner - Internal Medicine 8527375625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

102 W Max Starcke Dam Rd
Suite 100
Marble Falls, TX 78654-2196
Phone (512) 901-3910

1201 W Louis Henna Blvd
Austin, TX 78681-2301
Phone (512) 248-7000

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530

1330 Wonder World Dr
Suite 101
San Marcos, TX 78666-7567
Phone (512) 805-0680

1401 Medical Pkwy
Suite 150
Cedar Park, TX 78613-5026
Phone (512) 901-4002

1401 Medical Pkwy
Suite 300
Cedar Park, TX 78613-5014
Phone (512) 901-4010

1515 N US Hwy 281
Fresenius
Marble Falls, TX 78654-4507
Phone (830) 798-9575

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 943-3000

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (512) 341-5173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116027866VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Austin Diagnostic Clinic, PLLC CurrentSince Jan 8, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
The Austin Diagnostic Clinic, PLLC Nephrology Current Accepting new patients
Geisinger Clinic CurrentSince Jul 17, 2017 Accepting new patients
Geisinger Clinic CurrentSince Jul 17, 2017 Accepting new patients
Austin Diagnostic Clinic Hospitalist CurrentSince Jan 8, 2024 Accepting new patients
The Austin Diagnostic Clinic, PLLC Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

12221 N Mopac Expy
Ste 100
Austin, TX 78758
Phone (512) 901-4797

1401 Medical Pkwy
Ste 150
Cedar Park, TX 78613
Phone (512) 901-4002

1401 Medical Pkwy
Ste 300
Cedar Park, TX 78613
Phone (512) 249-7190

102 Max Starcke Dam Rd
Ste 100
Marble Falls, TX 78654
Phone (512) 901-3910

1330 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 805-0680

Interoperability endpoints

  • Direct secure messaging: manoj.das@hca8.eclinicaldirectplus.com

Organizations & group practices 7

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 5

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1174873988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582496",
            "telephone_number": "512-901-4010",
            "fax_number": "512-901-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582496",
            "telephone_number": "512-901-4010",
            "fax_number": "512-901-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_2": "Dept IM: Nephrology",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232980160",
            "country_code": "US",
            "telephone_number": "804-828-9683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_2": "Dept IM: Nephrology",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232980160",
            "country_code": "US",
            "telephone_number": "804-828-9683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAS",
        "first_name": "MANOJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116027866",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD460594",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "S4937",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD460594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdas104333@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 N Academy Ave",
            "city": "Danville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178229800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.