Individual provider Active NPI

Lovelesh K Manocha, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1407960552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9118 Issued in TX
Practice address
124 Dallas St
San Antonio, TX 78205-1202
Phone
(210) 224-1771
Fax
(210) 229-9138
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K9118 TX Primary

Addresses

Primary practice location

124 Dallas St
San Antonio, TX 78205-1202

Mailing address

124 Dallas St
San Antonio, TX 78205-1202
Phone (210) 224-1771

Other identifiers 1

IdentifierTypeStateIssuer
042049901MedicaidTX

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
I20100803000948 TX Practitioner - Internal Medicine 2163597634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7600

124 Dallas St
San Antonio, TX 78205-1202
Phone (210) 224-1771

1933 NE Loop
San Antonio, TX 78217-5320
Phone (210) 804-6000

3011 W Loop 1604
San Antionio, TX 78251-3901
Phone (210) 681-6176

3011 W Loop 1604 N Access Rd
San Antonio, TX 78251-3901
Phone (866) 309-2873

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

926 Brooklyn Ave
San Antonio, TX 78215-1637

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

  • St Mark Home Health Care LLC Home health agency, San Antonio, TX, CCN 747460
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2011 Accepting new patients
Skinner Clinic, PA Internal Medicine CurrentSince Jun 23, 2010 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2011 Accepting new patients
Wellmed Medical Group, PA Internal Medicine Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

124 Dallas St
San Antonio, TX 78205
Phone (210) 224-1771

3636 Medical Dr
San Antonio, TX 78229
Phone (210) 313-6774

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

Interoperability endpoints

  • Direct secure messaging: lovelesh.manocha.1@1438.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407960552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 DALLAS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051202",
            "telephone_number": "210-224-1771",
            "fax_number": "210-229-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 DALLAS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051202",
            "telephone_number": "210-224-1771",
            "fax_number": "210-229-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOCHA",
        "first_name": "LOVELESH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042049901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.