Individual provider Active NPI

Meenakshi Manivannan, MD

  • Dermatology Physician
  • Denton, TX
National Provider Identifier
1528683141
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
U9026 Issued in TX
Practice address
2548 Lillian Miller Pkwy Ste 100
Denton, TX 76210-7212
Phone
(940) 387-7565
Fax
(940) 566-0574
NPI assigned
Jun 9, 2020
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X U9026 TX Primary

Addresses

Primary practice location

2548 Lillian Miller Pkwy Ste 100
Denton, TX 76210-7212

Mailing address

1790 N Stonebridge Dr
McKinney, TX 75071-7437
Phone (972) 390-9002

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904004153 TX Practitioner - Dermatology 5991119232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew D Barrows MD PAGroup PAC ID 6305894171, 23 clinicians

Practice addresses (Care Compare)

2548 Lillian Miller Pkwy
Suite 100
Denton, TX 76210-7212
Phone (940) 387-7565

Merit-based Incentive Payment System (MIPS)

Final score
76.77 of 100Reported as group
Quality
48.81
Promoting interoperability
100
Improvement activities
40
Cost
73.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision39
Removal of skin lesions707
Skin biopsy269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U9026TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew D Barrows MD PA Dermatology CurrentSince Aug 1, 2024 Accepting new patients

Locations

2548 Lillian Miller Pkwy
Ste 100
Denton, TX 76210
Phone (940) 387-7565

324 W Main St
Ste 200
Lewisville, TX 75057
Phone (972) 436-0358

1790 N Stonebridge Dr
McKinney, TX 75071
Phone 9723909002303

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1528683141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 N STONEBRIDGE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717437",
            "telephone_number": "972-390-9002",
            "fax_number": "972-984-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 LILLIAN MILLER PKWY STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107212",
            "telephone_number": "940-387-7565",
            "fax_number": "940-566-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIVANNAN",
        "first_name": "MEENAKSHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U9026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.