Manjula Cherukuri, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M4734 Issued in TX

Practice address

208 S Akard St Ste PC-50
Dallas, TX 75202-4206

Phone

(469) 490-3119

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, CT2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562

  TX

  Medicare reassignment NPD
• Dedicated Physicians Group of Texas PLLC

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1174141899

  TX

  Medicare reassignment NPD
• Trinity Health of New England Provider Network Organization Inc

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812

  CT

  Medicare reassignment NPD
• Dedicated Physicians Group of Texas, PLLC

  • Non-Pharmacy Dispensing Site
  • Houston, TX
  • NPI 1427640044
  NPD
• Trinity Health of New England Provider Network Organization Inc

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1164494068
  NPD (past)
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Plano, TX
  • NPI 1619922549
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1477632016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S AKARD ST STE PC-50",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S AKARD ST STE PC-50",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752024206",
            "telephone_number": "469-490-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4808 S Buckner Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752272348",
            "country_code": "US",
            "telephone_number": "214-432-6322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W Ledbetter Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752244962",
            "country_code": "US",
            "telephone_number": "214-295-7344",
            "fax_number": "214-295-7853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERUKURI",
        "first_name": "MANJULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DL155",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01263455",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183500105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Chertkoev, OTR
• Alena Marie Cherucheril, PA
• Beesha Cherucheril, PHARM.D.
• Nimesha Cheruku
• Sreekanth Reddy Cheruku, M.D.
• Cheryl Edinbyrd Counseling Services, PLLC
• William Colburn Cheshire
• Susan C. Chesire, ANP
• Mary White Chesmore, PH.D.
• Abbie Chesney, LPC

• All providers in Dallas, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.