Manjulatha Badam, MD

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

M7480 Issued in TX

Practice address

8666 Huebner Rd Ste 220
San Antonio, TX 78240-1837

Phone

(210) 951-9981

NPI assigned

Dec 28, 2006

Last updated

Nov 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Manjulatha Nukala Former name

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undersea and Hyperbaric Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prime Home Health, LLC Home health agency, San Antonio, TX, CCN 453194

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJGECD/Endpoint/FJGECD

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.

• Vayu Advanced Wound Clinic and Hyperbarics PLLC

  • Medical Specialty Clinic/Center
  • San Antonio, TX
  • NPI 1588266605

  Single Specialty

  Medicare reassignment NPD Authorized official
• Community Medicine Associates

  dba University Medicine Associates

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1245313329

  Single Specialty

  Medicare reassignment NPD
• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639

  Single Specialty

  NPD (past)
• Pain Management Specialists

  dba Medical Practice

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1922617125

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Home Health, LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1649813874
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1417013368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13423 BLANCO RD # 767",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162187",
            "telephone_number": "210-651-1112",
            "fax_number": "855-479-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8666 HUEBNER RD STE 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401837",
            "telephone_number": "210-951-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Fannin St Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302740",
            "country_code": "US",
            "telephone_number": "713-441-0006",
            "fax_number": "713-790-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 S Zarzamora St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782075209",
            "country_code": "US",
            "telephone_number": "210-358-7474",
            "fax_number": "210-358-7406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 N Milam St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "TX",
            "postal_code": "786242752",
            "country_code": "US",
            "telephone_number": "210-951-9981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADAM",
        "first_name": "MANJULATHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7480",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "M7480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbadam@vayuhyperbarics.com",
            "affiliation": "N",
            "endpointDescription": "website linked",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8666 Huebner Rd Ste 220",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782401837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MANJULATHA",
            "last_name": "NUKALA",
            "prefix": "DR.",
            "credential": "MD, CWSP, UHM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald David Bacon, M.D.
• Christopher North Bacorn, PH.D., M.P.A.
• Maria Luisa Bacre, LMT
• Bad Behavior Health
• Hani Badahdah, DPM
• Uma Badam, PT
• Jack Badawy, M.D.
• Luana G Badea, DDS
• Eric Yang Baden, M.D.
• Medhat Gomaa Bader, DMD

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.

Verify at the official NPI Registry.