Individual provider Active NPI

Manju K Pandey, MD

  • Family Medicine Physician
  • Prosper, TX
National Provider Identifier
1396070348
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P5220 Issued in TX
Practice address
270 S Preston Rd
Prosper, TX 75078-9801
Phone
(972) 346-2279
Fax
(972) 346-2279
NPI assigned
Oct 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P5220 TX Primary

Addresses

Primary practice location

270 S Preston Rd
Prosper, TX 75078-9801

Mailing address

270 S Preston Rd
Prosper, TX 75078-9801
Phone (972) 346-2279

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
I20130618000239 TX Practitioner - Family Practice 1658538848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prosper Family Medicine, P.a.Group PAC ID 3779682877, 4 clinicians

Practice addresses (Care Compare)

270 S Preston Rd
Suite 30
Prosper, TX 75078-9802
Phone (972) 346-2279

Hospital & facility affiliations

  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ann H Snyder MD PA PastSince Oct 1, 1999 Accepting new patients
Rhonda D Hopkins, M.D., P.a. PastSince Aug 1, 2001 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1396070348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S PRESTON RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789801",
            "telephone_number": "972-346-2279",
            "fax_number": "972-346-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S PRESTON RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789801",
            "telephone_number": "972-346-2279",
            "fax_number": "972-346-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "MANJU",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.