Active NPI
Venkat R Mantha, MD
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- Q9191
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75251-3294 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Feb 15, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | FTL44819 | TX | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | Q9191 | TX | |
| Anesthesiology Physician | 207L00000X | Q9191 | TX | Primary |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Mailing address
PO Box 840853
Dallas, TX 75284-3411
Phone (972) 233-1999
Other practice location 1
1 Baylor Plz
Ms 120
Houston, TX 77030-3411
Phone (713) 798-7356
Other practice location 2
6720 Bertner Ave
Houston, TX 77030-2604
Phone (823) 355-2666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001679910 | Medicaid | PA |
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
- Anesthesiology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16906 Southwest Fwy
Sugar Land, TX 77479-2350
Phone (281) 243-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FTL44819 | TX | MD | Anesthesiology Physician |
| Q9191 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Anesthesiology | Current | Accepting new patients |
| Xenon Medical of Texas PLLC | Anesthesiology | Current | Accepting new patients |
| Compass Anesthesia Providers PLLC | Anesthesiology | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Emergenchealth PLLC | Anesthesiology | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients |
Locations
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
2459 S Braeswood Blvd
Houston, TX 77030
Phone (713) 529-8600
2855 Gramercy St
Houston, TX 77025
Phone (713) 668-1828
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902
1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900
6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095
17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645
421 School St
Ste 110
Tomball, TX 77375
Phone (281) 357-1977
6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537
Interoperability endpoints
- vmantha@direct.excelahealth.org
Organizations & group practices 8
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.
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- Family Medicine Physician
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- NPI 1053352914
-
- Anesthesiology Physician
- Webster, TX
- NPI 1669829750
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
-
- Anesthesiology Physician
- Houston, TX
- NPI 1588007215
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1295709269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752843411",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513294",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz",
"address_2": "MS 120",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "713-798-7356",
"fax_number": "713-798-6374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6720 Bertner Ave",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302604",
"country_code": "US",
"telephone_number": "823-355-2666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANTHA",
"first_name": "VENKAT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "FTL44819",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "TX",
"license": "Q9191",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "Q9191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001679910",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.