Individual provider Active NPI

Sukesh Manthri, M.D.

  • Internal Medicine Physician
  • Houma, LA
National Provider Identifier
1508271859
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.064997 Issued in IL
Practice address
8166 Main St Ste 102
Houma, LA 70360-3404
Phone
(985) 857-8093
Fax
(985) 857-8092
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.064997 IL Primary

Addresses

Primary practice location

8166 Main St Ste 102
Houma, LA 70360-3404

Mailing address

8166 Main St Ste 102
Houma, LA 70360-3404
Phone (985) 857-8093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200721000574 LA Practitioner - Medical Oncology 7214153212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

8166 Main St
Suite 102
Houma, LA 70360-3404
Phone (985) 857-8093

Hospital & facility affiliations

  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
  • Ochsner St Mary Hospital, Morgan City, LA, CCN 190014
  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
  • Physicians Medical Center Hospital, Houma, LA, CCN 190241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practice Partners Internal Medicine CurrentSince Jul 31, 2020 Accepting new patients
Terrebonne Parish Hospital Service District #1 Internal Medicine PastSince Jul 31, 2020 Accepting new patients

Locations

8166 Main St
Ste 201
Houma, LA 70360
Phone (985) 857-8093

8166 Main St
Ste 102
Houma, LA 70360
Phone (985) 857-8093

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

Interoperability endpoints

  • Direct secure messaging: smanthri915958@direct.ochsner.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1508271859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8166 MAIN ST STE 102",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603404",
            "telephone_number": "985-857-8093",
            "fax_number": "985-857-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 MAIN ST STE 102",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603404",
            "telephone_number": "985-857-8093",
            "fax_number": "985-857-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTHRI",
        "first_name": "SUKESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.064997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.