Active NPI
Manhar J Tejura, M.D.
- Cardiovascular Disease Physician
- Monroe, MI
National Provider Identifier
1427058734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MT037750
- Practice address
- 730 N Macomb St
Ste 429
Monroe, MI 48162-2900 - Phone
- (734) 242-7060
- Fax
- (734) 241-7580
- NPI assigned
- Jul 28, 2005
- Last updated
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MT037750 | MI | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 35043289T | OH |
Addresses
Primary practice location
730 N Macomb St
Ste 429
Monroe, MI 48162-2900
Mailing address
730 N Macomb St
Ste 429
Monroe, MI 48162-2900
Phone (734) 242-7060
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25014177 | Other | MI | UNITED HEALTHCARE |
| 0429370 | Medicaid | OH | |
| 102968533 | Medicaid | MI | |
| 4054389 | Other | OH | AETNA |
| PARAMOUNT | Other | OH | 01253 |
| 06005298 | Other | MI | MEDICARE RAILROAD |
| 0981811 | Other | MI | HEALTH PLAN OF MI |
| 4054389 | Other | MI | AETNA |
| D31195 | Other | MI | HEALTH ALLIANCE PLAN |
| P00959707 | Other | MI | RRMC |
| 000000146865 | Other | OH | ANTHEM BCBS |
| 25014177 | Other | OH | UNITED HEALTHCARE |
| 700E860190 | Other | MI | BCBSMI |
| 06005298 | Other | OH | MEDICARE RAILROAD |
| 2316790 | Other | OH | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT037750 | MI | MD | Cardiovascular Disease Physician |
| 35043289T | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovasular Physicians/Mercy Health Partners,LLC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Monroe, MI
- NPI 1194893081
-
dba Cardiovascular Diagnostic Institute
- Cardiovascular Disease Physician
- Toledo, OH
- NPI 1477548790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1427058734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 N MACOMB ST",
"address_2": "STE 429",
"city": "MONROE",
"state": "MI",
"postal_code": "481622900",
"telephone_number": "734-242-7060",
"fax_number": "734-241-7580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 N MACOMB ST",
"address_2": "STE 429",
"city": "MONROE",
"state": "MI",
"postal_code": "481622900",
"telephone_number": "734-242-7060",
"fax_number": "734-241-7580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJURA",
"first_name": "MANHAR",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "MT037750",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35043289T",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "25014177",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0429370",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102968533",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4054389",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "01253",
"identifier": "PARAMOUNT",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "06005298",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MI",
"identifier": "0981811",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4054389",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "D31195",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00959707",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000146865",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "25014177",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMI",
"identifier": "700E860190",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "06005298",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2316790",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
- Kristel Taylor, LPC
- Nicole Katheryn Taylor
- Shantell Taylor
- Team Rehabilitation Physical Therapy
- Teddy Tony Tehensky Jr.
- Shelly J. Temperley, MD
- Steven Tennant
- Riann Tennyson, LLMSW
- The Hearing Loss Treatment Center
- The Surgical Institute of Monroe Ambulatory Surgery Center LLC (Surgical Institute of Monroe)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.