NPIMap

Individual provider Active NPI

Manjari Devidi, M.D

  • Rheumatology Physician
  • Houston, TX
National Provider Identifier
1407172448
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
R8175 Issued in TX
Practice address
6410 Fannin St Ste 450
Houston, TX 77030-3008
Phone
(713) 486-3100
Fax
(713) 512-2246
NPI assigned
Apr 15, 2010
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X R8175 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 450
Houston, TX 77030-3008

Mailing address

6431 Fannin St # 5.270
Houston, TX 77030-1501
Phone (571) 291-5278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190207000647 TX Practitioner - RheumatologyPractitioner - Internal Medicine 8527209147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

5656 Kelley St
Houston, TX 77026-1967
Phone (713) 566-4635

6410 Fannin St
Houston, TX 77030-3000

6410 Fannin St
Houston, TX 77030-3005

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-0093

6431 Fannin St
MSB2.100
Houston, TX 77030-1501
Phone (713) 500-7700

8901 Boone Rd
Houston, TX 77099-1659
Phone (713) 526-4243

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Single Specialty CurrentSince Dec 6, 2018 Accepting new patients
Ut Physicians CurrentSince Dec 6, 2018 Accepting new patients
Georgia Family Care, LLC Single Specialty CurrentSince Jul 1, 2013 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

2491 Panola Rd
Lithonia, GA 30058
Phone (678) 205-4999

6410 Fannin St
Ste 450
Houston, TX 77030
Phone (713) 486-3100

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFBDA
  • Direct secure messaging: mdevidi13331@direct.uth.org

Organizations & group practices 4

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 9

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1407172448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST # 5.270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "571-291-5278",
            "fax_number": "713-500-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303008",
            "telephone_number": "713-486-3100",
            "fax_number": "713-512-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIDI",
        "first_name": "MANJARI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "R8175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.