Suhas D Mantri, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

F5288 Issued in TX

Practice address

3321 Unicorn Lake Blvd Ste 121
Denton, TX 76210-0107

Phone

(940) 387-6248

Fax

(940) 381-1881

NPI assigned

Oct 17, 2006

Last updated

Feb 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dulemba and Mantri MD PA

  dba The Womens Centre

  • Gynecology Physician
  • Denton, TX
  • NPI 1679567317
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1659452985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 UNICORN LAKE BLVD STE 121",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100107",
            "telephone_number": "940-387-6248",
            "fax_number": "940-381-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 UNICORN LAKE BLVD STE 121",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100107",
            "telephone_number": "940-387-6248",
            "fax_number": "940-381-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTRI",
        "first_name": "SUHAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "F5288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042778304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042778302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042778303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Manning, MS, CCC-SLP
• Hallie Manning
• Kendra Alexis Manning, LCSW
• Tiffany Manning
• Bhavana Mantha
• Jennifer Maraga, OTR
• Jay Marble, PT, DPT
• Katherine H Marcella, PNP
• Shirley Ann Marion, CNM
• Mark a. Morris Point of Care Ultrasound Imaging LLC (Mark A. Morris Ultrasound Imaging LLC)

• Gynecology Physician in Denton, TX
• Providers in Denton, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.