Individual provider Active NPI

Joseph Richard Mantheiy III, MD

  • Emergency Medicine Physician
  • Meadowlakes, TX
National Provider Identifier
1346222999
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G8257 Issued in TX
Practice address
132 Broadmoor St
Meadowlakes, TX 78654-6602
Phone
(830) 385-3641
NPI assigned
Nov 18, 2005
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G8257 TX Primary
Family Medicine Physician 207Q00000X G8257 TX

Addresses

Primary practice location

132 Broadmoor St
Meadowlakes, TX 78654-6602

Mailing address

132 Broadmoor St
Meadowlakes, TX 78654-6602
Phone (830) 385-3641

Other identifiers 2

IdentifierTypeStateIssuer
125096103MedicaidTX
82990KOtherTXBCBS

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
I20080612000893 TX Practitioner - Emergency MedicinePractitioner - Family Practice 9133290406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lavaca Hospital DistrictGroup PAC ID 1153211750, shared by 4 NPIs, 23 clinicians

Practice addresses (Care Compare)

1400 N Texana
Hallettsville, TX 77964-2021

1400 N Texana St
Hallettsville, TX 77964-2021
Phone (361) 798-3671

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lavaca Hospital District Emergency Medicine CurrentSince Aug 10, 2015 Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine CurrentSince Oct 25, 2016 Accepting new patients
Lavaca Hospital District Current Accepting new patients

Locations

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1346222999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BROADMOOR ST",
            "city": "MEADOWLAKES",
            "state": "TX",
            "postal_code": "786546602",
            "telephone_number": "830-385-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 BROADMOOR ST",
            "city": "MEADOWLAKES",
            "state": "TX",
            "postal_code": "786546602",
            "telephone_number": "830-385-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTHEIY",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G8257",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125096103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82990K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowlakes, TX

Sources for this page

Verify at the official NPI Registry.