Vasudha Mantravadi, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

T1453 Issued in TX

Practice address

16545 Southwest Fwy Ste 100
Sugar Land, TX 77479-2919

Phone

(281) 649-7200

Fax

(281) 491-6704

NPI assigned

Aug 9, 2016

Last updated

Jul 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Allergy/Immunology

Education

University of Texas Southwestern Medical School at Dallas, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Austin Allergy, Asthma and Immunology PAGroup PAC ID 3274890512, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.5 of 100Reported as group

Quality

64.9

Promoting interoperability

73

Improvement activities

40

Cost

75.92

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greater Austin Allergy, Asthma & Immunology PA

  • Allergy & Immunology Physician
  • Round Rock, TX
  • NPI 1275978306
  Medicare reassignment Care Compare group NPD
• ENT and Allergy Associates of Texas PLLC

  • Otolaryngology Physician
  • Sugar Land, TX
  • NPI 1518844554

  Allergy & Immunology

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1316491210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 SOUTHWEST FWY STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783842",
            "telephone_number": "281-649-7000",
            "fax_number": "281-240-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16545 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792919",
            "telephone_number": "281-649-7200",
            "fax_number": "281-491-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTRAVADI",
        "first_name": "VASUDHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "T1453",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2019023011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Manning
• Constance M Mannke, RN
• Ann Manolakos, R.N.
• Brittany Manor
• Mantis Medical PLLC
• Varos Victer Manukyan, DO
• Sethunya Manyuna
• Robert C Mao, M.D.
• Jeremy Robert Marasek
• Marathe PM&R PLLC

• Allergy & Immunology Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.

Verify at the official NPI Registry.