Individual provider Active NPI

Eron Grant Manusov, MD

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1477523447
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P8943 Issued in TX
Practice address
2106 Treasure Hills Blvd # 1.326
Harlingen, TX 78550-8736
Phone
(956) 296-1519
Fax
(956) 296-1331
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X P8943 TX
Family Medicine Physician 207Q00000X P8943 TX Primary

Addresses

Primary practice location

2106 Treasure Hills Blvd # 1.326
Harlingen, TX 78550-8736

Mailing address

PO Box 531968
Harlingen, TX 78553-1968
Phone (338) 887-4863

Other practice location 1

2810 W Expressway 83
Mercedes, TX 78570-9704
Phone (956) 734-9067

Other identifiers 3

IdentifierTypeStateIssuer
337122104MedicaidTX
337122105OtherTXMEDICAID - CSHCN
H08FR76401OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2102 Treasure Hills Blvd
Harlingen, TX 78550-8736

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P8943TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Rio Grande Valley Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emanusov68004@direct.utmb.edu
  • Direct secure messaging: eron.manusov@450368864321540.direct.elationemr.com
  • Direct secure messaging: e.manusov@dhr.cernerdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1477523447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531968",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531968",
            "telephone_number": "338-887-4863",
            "fax_number": "956-296-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 TREASURE HILLS BLVD # 1.326",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508736",
            "telephone_number": "956-296-1519",
            "fax_number": "956-296-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Expressway 83",
            "address_purpose": "LOCATION",
            "city": "Mercedes",
            "state": "TX",
            "postal_code": "785709704",
            "country_code": "US",
            "telephone_number": "956-734-9067",
            "fax_number": "956-734-9068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUSOV",
        "first_name": "ERON",
        "middle_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "P8943",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337122104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - CSHCN",
            "identifier": "337122105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08FR76401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.