Individual provider Active NPI

Yogita Mantena, DO

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1659358794
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q6651 Issued in TX
Practice address
9922 Louetta Rd
Houston, TX 77070-1468
Phone
(346) 206-2300
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q6651 TX Primary
Emergency Medicine Physician 207P00000X 228403-1 NY

Addresses

Primary practice location

9922 Louetta Rd
Houston, TX 77070-1468

Mailing address

2941 Lake Vista Dr
Lewisville, TX 75067-3801
Phone (972) 899-6104

Other identifiers 2

IdentifierTypeStateIssuer
2556N1OtherNYBLUECROSS BLUESHIELD
02512765MedicaidNY

Other names 1

  • Yogita Kapoor Former name

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
I20151230000802 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 1658357207 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228403-1NYMDEmergency Medicine Physician
Q6651TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Emergency Hospital Systems LLC CurrentSince Oct 16, 2017 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

8200 Highway 6
Sienna Plantation, TX 77459
Phone (713) 441-3724

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1659358794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 LAKE VISTA DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673801",
            "telephone_number": "972-899-6104",
            "fax_number": "972-899-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 LOUETTA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701468",
            "telephone_number": "346-206-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTENA",
        "first_name": "YOGITA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q6651",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "228403-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "2556N1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOGITA",
            "last_name": "KAPOOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.