Yugandhar Reddy Manda, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

Q8296 Issued in TX

Practice address

1105 W Frank Ave
Lufkin, TX 75904-3303

Phone

(936) 632-8787

NPI assigned

Jun 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Cardiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
• Tyler County Hospital Hospital, Woodville, TX, CCN 450460
• Sabine County Hospital Hospital, Hemphill, TX, CCN 451361

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
• Direct secure messaging: yugandhar.mandamd.p1@direct.hiet.nextgenshare.com

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.

• Baylor St. Luke'S Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879
  Medicare reassignment Care Compare group NPD

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

• Christus Health Southeast Texas

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation
• Memorial Health System of East Texas

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation
• Preferred Hospital Leasing Hemphill, Inc

  • Critical Access Hospital
  • Hemphill, TX
  • NPI 1932379856
  Care Compare affiliation
• Tyler County Hospital District

  • General Acute Care Hospital
  • Woodville, TX
  • NPI 1447259627
  Care Compare affiliation

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1528229762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043133",
            "telephone_number": "936-632-8787",
            "fax_number": "936-632-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-632-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 E Loop 304",
            "address_purpose": "LOCATION",
            "city": "Crockett",
            "state": "TX",
            "postal_code": "758355403",
            "country_code": "US",
            "telephone_number": "936-632-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S John Redditt Dr",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043120",
            "country_code": "US",
            "telephone_number": "936-632-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Craig St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "759514830",
            "country_code": "US",
            "telephone_number": "936-632-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Gaslight Blvd",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043133",
            "country_code": "US",
            "telephone_number": "936-632-8787",
            "fax_number": "936-632-8832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDA",
        "first_name": "YUGANDHAR",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT189821",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q8296",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q8296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malladi and Reddy P.a.
• Bhagvan R Malladi, MD
• Suhasini Malladi, MD
• Kristina Marie Malnar, MS, APRN, FNP-C
• Frederick Rosas Manalo, PT
• Vivek Mangla, M.D.
• Lauren Hudson Manley, FNP-C
• Marco a Benitez Mdpa
• Margo Personal Care Enterprises Inc
• Dakota Marks

• Cardiovascular Disease Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; 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.

Verify at the official NPI Registry.