Active NPI
Dominic Maneen, DO, MBA, ATC
- Sports Medicine (Family Medicine) Physician
- Shenandoah, TX
National Provider Identifier
1447785449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- R8602
- Practice address
- 9180 Pinecroft Dr # 390
Shenandoah, TX 77380-2794 - Phone
- (281) 939-5655
- NPI assigned
- Apr 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | R8602 | TX | Primary |
Addresses
Primary practice location
9180 Pinecroft Dr # 390
Shenandoah, TX 77380-2794
Mailing address
9180 Pinecroft Dr # 390
Shenandoah, TX 77380-2794
Phone (281) 939-5655
Other practice location 1
14023 Southwest Fwy
Sugar Land, TX 77478-3550
Phone (281) 325-4100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9180 Pinecroft Dr
Suite 390
Shenandoah, TX 77380-2794
Phone (281) 939-5655
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.82 of 100
- Quality
- 9.1
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 43.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8602 | TX | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Health & Sports Medicine | Sports Medicine | Current | Accepting new patients |
Locations
9180 Pinecroft Dr
Ste 390
Shenandoah, TX 77380
Phone (281) 939-5655
Interoperability endpoints
- dmaneen66240@memorialhermann.direct-ci.com
Organizations & group practices 1
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.
-
- Sports Medicine (Family Medicine) Physician
- Shenandoah, TX
- NPI 1942955265
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1447785449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR # 390",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773802794",
"telephone_number": "281-939-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR # 390",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773802794",
"telephone_number": "281-939-5655"
}
],
"practiceLocations": [
{
"address_1": "14023 Southwest Fwy",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774783550",
"country_code": "US",
"telephone_number": "281-325-4100",
"fax_number": "281-325-4292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANEEN",
"first_name": "DOMINIC",
"credential": "DO, MBA, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-27",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "R8602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.