Individual provider Active NPI

Manjeera Cherukuri, MD

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1376741751
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N9440 Issued in TX
Practice address
800 W Randol Mill Rd Ste 2300
Arlington, TX 76012-2504
Phone
(817) 960-6648
Fax
(817) 960-6649
NPI assigned
Jul 6, 2007
Last updated
Apr 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD432382 PA
Internal Medicine Physician 207R00000X N9440 TX Primary

Addresses

Primary practice location

800 W Randol Mill Rd Ste 2300
Arlington, TX 76012-2504

Mailing address

800 W Randol Mill Rd Ste 2300
Arlington, TX 76012-2504
Phone (817) 960-6648

Other names 1

  • Manjeera Gorla Former name

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
I20110915000566 TX Practitioner - Internal Medicine 2860588803 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
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432382PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care CurrentSince Nov 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients
Texas Health Physicians Group CurrentSince Dec 1, 2012 Accepting new patients
Texas Health Virtual Care Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Past Accepting new patients
Questcare Hospitalists PLLC Internal Medicine PastSince Jan 19, 2025 Accepting new patients

Locations

800 W Randol Mill Rd
Ste 2300
Arlington, TX 76012
Phone (817) 960-6648

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

8200 Walnut Hill Ln
Fl 9
Dallas, TX 75231
Phone (214) 345-8001

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
  • Direct secure messaging: mcherukuri253841@direct.texashealth.org

Organizations & group practices 7

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1376741751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W RANDOL MILL RD STE 2300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122504",
            "telephone_number": "817-960-6648",
            "fax_number": "817-960-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W RANDOL MILL RD STE 2300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122504",
            "telephone_number": "817-960-6648",
            "fax_number": "817-960-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUKURI",
        "first_name": "MANJEERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432382",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANJEERA",
            "last_name": "GORLA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.