Active NPI
Joseph Richard Mantheiy III, MD
- Emergency Medicine Physician
- Meadowlakes, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G8257
- Practice address
- 132 Broadmoor St
Meadowlakes, TX 78654-6602 - Phone
- (830) 385-3641
- NPI assigned
- Nov 18, 2005
- Last updated
- Oct 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125096103 | Medicaid | TX | |
| 82990K | Other | TX | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- 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 District
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 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lavaca Hospital District | Emergency Medicine | Current | Accepting new patients |
| Southwest Medical Associates, Inc. | Emergency Medicine | Current | 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.
-
dba Lavaca Medical Center
- Emergency Medicine Physician
- Hallettsville, TX
- NPI 1245274471
-
dba Lavaca Medical Center
- Critical Access Hospital
- Hallettsville, TX
- NPI 1992767511
-
- Emergency Medicine Physician
- Electra, TX
- NPI 1831299122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lavaca Medical Center
- Critical Access Hospital
- Hallettsville, TX
- NPI 1992767511
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.