Active NPI
Vijayakala Mani, PA-C
- Pain Medicine Physician
- Paris, TX
National Provider Identifier
1295988640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- PA09858
- Practice address
- 2895 Lewis LN
Paris, TX 75460-9331 - Phone
- (972) 203-3600
- Fax
- (972) 203-3601
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | AP09858 | TX | |
| Physician Assistant | 363A00000X | PA09858 | TX | |
| Pain Medicine Physician | 208VP0000X | PA09858 | TX | Primary |
Addresses
Primary practice location
2895 Lewis LN
Paris, TX 75460-9331
Mailing address
PO Box 1200
Colleyville, TX 76034-1200
Phone (972) 203-3600
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09858 | TX | MD | Physical Medicine & Rehabilitation Physician |
| PA09858 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Questcare Matrix PLLC | Multi-Specialty | Current | Accepting new patients |
| Vpa of Texas PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Plano, TX
- NPI 1316078769
-
- Primary Care Clinic/Center
- Frisco, TX
- NPI 1013031095
-
- Geriatric Medicine (Internal Medicine) Physician
- Elgin, TX
- NPI 1679135420
-
- Emergency Medicine Physician
- Grapevine, TX
- NPI 1316295066
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1295988640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1200",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760341200",
"telephone_number": "972-203-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 LEWIS LN",
"city": "PARIS",
"state": "TX",
"postal_code": "754609331",
"telephone_number": "972-203-3600",
"fax_number": "972-203-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANI",
"first_name": "VIJAYAKALA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "AP09858",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09858",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "PA09858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.