Active NPI
Spiros Manolidis, M.D
- Otolaryngology Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- K4141
- Practice address
- 1600 W College St Ste 555
Grapevine, TX 76051-3589 - Phone
- (817) 329-6798
- Fax
- (817) 329-7801
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | K4141 | TX | Primary |
Addresses
Primary practice location
1600 W College St Ste 555
Grapevine, TX 76051-3589
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8450
Other practice location 1
501 Saunders Ave Ste 320
Tyler, TX 75702-7524
Phone (903) 606-5140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118066305 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 W College St
555 Privia Med GRP N TX
Grapevine, TX 76051-3589
Phone (817) 329-6798
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Baylor Scott & White Medical Center Grapevine
- Baylor Scott and White All Saints Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4141 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Otolaryngology | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Otolaryngology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Otolaryngology | Past | Accepting new patients |
| Baylor College of Medicine | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients | |
| Baylor College of Medicine | Otolaryngology | Past | Accepting new patients |
Locations
3500 Gaston Ave
Dallas, TX 75246
2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400
1600 W College St
Ste 555
Grapevine, TX 76051
Phone (817) 310-0020
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
501 Saunders Ave
Ste 320
Tyler, TX 75702
Phone (903) 606-4300
920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855
Interoperability endpoints
- spiros.manolidis.p1@direct.thc.nextgenshare.com
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- spiros.manolidis.1@863.direct.athenahealth.com
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- smanolidis336116@christushealth.direct-ci.net
Organizations & group practices 9
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Obstetrics & Gynecology Physician
- Willow Park, TX
- NPI 1073679379
Otolaryngology
-
dba Baylor College of Medicine Dept of Otolaryngology Head and Neck Cons
- Otolaryngology Physician
- Houston, TX
- NPI 1093880437
-
- Ophthalmology Physician
- Houston, TX
- NPI 1457423949
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Otolaryngology
-
- Specialist
- New York, NY
- NPI 1801074315
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White All Saints Medical Center - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
dba Baylor Scott & White Medical Center - Grapevine
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1205976008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "817-740-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W COLLEGE ST STE 555",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513589",
"telephone_number": "817-329-6798",
"fax_number": "817-329-7801"
}
],
"practiceLocations": [
{
"address_1": "501 Saunders Ave Ste 320",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757027524",
"country_code": "US",
"telephone_number": "903-606-5140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANOLIDIS",
"first_name": "SPIROS",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "K4141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118066305",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.