Individual provider Active NPI

Manu S. Rajachandran, M.D.

  • Interventional Cardiology Physician
  • El Paso, TX
National Provider Identifier
1639132558
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
N5348 Issued in TX
Practice address
4801 Alberta Ave
El Paso, TX 79905-2707
Phone
(915) 215-5200
Fax
(915) 215-8640
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X N5348 TX
Interventional Cardiology Physician 207RI0011X MD439156 PA
Interventional Cardiology Physician 207RI0011X 25MA06950200 NJ
Interventional Cardiology Physician 207RI0011X N5348 TX Primary

Addresses

Primary practice location

4801 Alberta Ave
El Paso, TX 79905-2707

Mailing address

3270 Joe Battle Blvd Ste 215
El Paso, TX 79938-2622
Phone (915) 206-2999

Other practice location 1

1600 6th Ave Ste 108
York, PA 17403
Phone (717) 849-5576

Other practice location 2

3270 Joe Battle Blvd Ste 215
El Paso, TX 79938-2622
Phone (915) 206-2999

Other identifiers 2

IdentifierTypeStateIssuer
102446101MedicaidPA
8081603MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20101005000686 PA Practitioner - Cardiovascular Disease (Cardiology) 5294758025 Reassigns benefits to 1 organization
I20181025002460 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5294758025 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Warren Alpert Medical School of Brown University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians

Practice addresses (Care Compare)

1521 Joe Battle Blvd
El Paso, TX 79936-6286
Phone (915) 760-5700

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5400

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
25MA06950200NJMDInterventional Cardiology Physician
N5348TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 18, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Cardiovascular Disease Current Accepting new patients
El Paso County Hospital District CurrentSince Apr 15, 2021 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 1, 2018 Accepting new patients
El Paso County Hospital District CurrentSince Apr 15, 2021 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 1, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Dec 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Jun 18, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2020 Accepting new patients
Memorial Enterprises Inc Past Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients
BHS Specialty Network Inc Cardiovascular Disease Past Accepting new patients

Locations

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1 Tech Park Dr
Ste 1120
Johnstown, PA 15901
Phone (814) 266-2434

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

3270 Joe Battle Blvd
Ste 215
El Paso, TX 79938
Phone (915) 206-2999

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1639132558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 JOE BATTLE BLVD STE 215",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382622",
            "telephone_number": "915-206-2999",
            "fax_number": "915-249-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052707",
            "telephone_number": "915-215-5200",
            "fax_number": "915-215-8640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 6th Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "17403",
            "country_code": "US",
            "telephone_number": "717-849-5576",
            "fax_number": "717-718-8037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3270 Joe Battle Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382622",
            "country_code": "US",
            "telephone_number": "915-206-2999",
            "fax_number": "915-249-2716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJACHANDRAN",
        "first_name": "MANU",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N5348",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD439156",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA06950200",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "N5348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102446101",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8081603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.