NPIMap

Individual provider Active NPI

Geeta Manthena, M.D.

  • Infectious Disease Physician
  • Fortworth, TX
National Provider Identifier
1326257163
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
N6918 Issued in TX
Practice address
1500 S. Main Street
Fortworth, TX 76104
Phone
(862) 220-0328
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X N6918 TX Primary

Addresses

Primary practice location

1500 S. Main Street
Fortworth, TX 76104

Mailing address

9202 Elam Rd
Dallas, TX 75217-4151
Phone (214) 786-6968

Other practice location 1

11803 South Fwy Ste 111
Burleson, TX 76028-7028
Phone (704) 877-4690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, TN, NM, MA, SC6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20101123000901 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 1951496678 Reassigns benefits to 9 organizations
I20250527000597 AZ Practitioner - Infectious Disease 1951496678 Reassigns benefits to 1 organization
I20250609002527 TN Practitioner - Infectious Disease 1951496678 Reassigns benefits to 1 organization
I20250917000715 NM Practitioner - Infectious DiseasePractitioner - Internal Medicine 1951496678 Reassigns benefits to 1 organization
I20260128001974 MA Practitioner - Infectious Disease 1951496678 Reassigns benefits to 1 organization
I20260203004417 SC Practitioner - Infectious Disease 1951496678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians
Mallikarjuna Mukka MD PAGroup PAC ID 9436222510, 7 clinicians

Practice addresses (Care Compare)

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (972) 449-0540

2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (972) 449-0540

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (972) 449-0540

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (972) 449-0540

5700 E Hwy 90
Sierra Vista, AZ 85635-9110
Phone (972) 449-0540

6551 Harris Pkwy
Suite 110
Fort Worth, TX 76132-6105
Phone (817) 624-3500

Hospital & facility affiliations

  • Parkland Health & Hospital System Hospital, Dallas, TX, CCN 450015

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District CurrentSince Aug 8, 2016 Accepting new patients
Mallikarjuna Mukka MD PA Infectious Disease CurrentSince Jun 1, 2024 Accepting new patients
Dallas County Hospital District Current Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Mar 1, 2019 Accepting new patients
Access Telecare, PLLC Infectious Disease CurrentSince Mar 23, 2025 Accepting new patients
Fort Worth Infectious Disease Consultants PLLC Infectious Disease CurrentSince Dec 1, 2018 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Mar 11, 2017 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Star Ed PLLC CurrentSince Jun 14, 2020 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc CurrentSince Dec 1, 2019 Accepting new patients
Dallas County Hospital District CurrentSince Aug 8, 2016 Accepting new patients
Claire E Brenner MD PA Infectious Disease CurrentSince Apr 1, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Dec 1, 2018 Accepting new patients
Apogee Medical Group Texas PA PastSince Oct 8, 2023 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Eastern Connecticut Medical Professionals Foundation Inc Infectious Disease Past Accepting new patients

Locations

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

11803 South Fwy
Ste 111
Burleson, TX 76028
Phone (817) 349-9500

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

9202 Elam Rd
Dallas, TX 75217
Phone (214) 266-1500

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

6551 Harris Pkwy
Ste 110
Fort Worth, TX 76132
Phone (817) 370-8833

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2241 Peggy Ln
Ste E
Garland, TX 75042
Phone (972) 276-6191

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: gmanthena67861@direct.phhs.org
  • FHIR API: https://api.platform.athenahealth.com/16067/brand/1/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1326257163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 ELAM RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174151",
            "telephone_number": "214-786-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S. MAIN STREET",
            "city": "FORTWORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "862-220-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11803 South Fwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287028",
            "country_code": "US",
            "telephone_number": "704-877-4690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTHENA",
        "first_name": "GEETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "N6918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortworth, TX

Sources for this page

Verify at the official NPI Registry.