Individual provider Active NPI

Manohar P Vajja, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1306048277
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10016737 Issued in TX
Practice address
3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone
(214) 886-8496
Fax
(877) 362-7291
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10016737 TX Primary

Addresses

Primary practice location

3500 W Wheatland Rd
Dallas, TX 75237-3460

Mailing address

6565 N Macarthur Blvd Ste 225
Irving, TX 75039-2482
Phone (877) 362-7291

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
I20080528000106 TX Practitioner - Internal Medicine 9335219732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1724 E Broad St
Suite 136
Mansfield, TX 76063-9140
Phone (817) 453-5022

3020 W Wheatland Rd
Dallas, TX 75237-3537
Phone (214) 886-8496

3200 Matlock Rd
Arlington, TX 76015-2911
Phone (817) 468-4000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 886-8496

4343 N Josey LN
Carrollton, TX 75010-4603
Phone (214) 886-8496

6447 Malaga
Irving, TX 75039-3191
Phone (972) 910-9341

7502 Greenville Ave
Dallas, TX 75231-3802
Phone (214) 886-8496

Hospital & facility affiliations

  • Carrollton Regional Medical Center Hospital, Carrollton, TX, CCN 450730
  • Advanced Dallas Hospitals and Clinics Hospital, Dallas, TX, CCN 670321
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Select Specialty Hospital-Dallas Long-term care hospital, Plano, TX, CCN 452022

Merit-based Incentive Payment System (MIPS)

Final score
63.2 of 100Reported as individual
Quality
81.55
Improvement activities
0
Cost
75.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10016737TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manohar Vajja, MD PA Internal Medicine CurrentSince May 1, 2011 Accepting new patients
Infusion Services & Specialty Pharmacy CurrentSince Jul 27, 2023 Accepting new patients
Alan G Kaye & Associates PA Internal Medicine Past Accepting new patients
Advanced Dallas Hospital & Clinics LLC Past Accepting new patients
Select Specialty Hospital Dallas Inc Past Accepting new patients
Inpatient Physician Associates PLLC Internal Medicine Past Accepting new patients
Dallas Hospitalist, PA Internal Medicine Past Accepting new patients
Sana Healthcare Carrollton Past Accepting new patients

Locations

3200 Matlock Rd
Arlington, TX 76015
Phone (817) 419-4239

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3500 Gaston Ave
Fl 4
Dallas, TX 75246
Phone (214) 957-1067

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1724 E Broad St
Ste 136
Mansfield, TX 76063
Phone (817) 453-5022

Interoperability endpoints

  • Direct secure messaging: manohar.vajja.1@13131.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1306048277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N MACARTHUR BLVD STE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392482",
            "telephone_number": "877-362-7291",
            "fax_number": "877-362-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373460",
            "telephone_number": "214-886-8496",
            "fax_number": "877-362-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAJJA",
        "first_name": "MANOHAR",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10016737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.