Poonam Mehta Manasa, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME104594 Issued in FL

Practice address

919 E 32ND St
Austin, TX 78705-2703

Phone

(512) 544-5116

Fax

(866) 735-4585

NPI assigned

Jun 7, 2007

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Baylor College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Austin Rehab Physicians PLLCGroup PAC ID 8921362575, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David's Medical Center Hospital, Austin, TX, CCN 450431
• St Davids Medical Center Inpatient rehabilitation facility, Austin, TX, CCN 45T431

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Greater Austin Rehab Physicians PLLC

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1366945685
  Medicare reassignment Care Compare group NPD
• Poonam Manasa, M.D. P.a.

  • Physical Medicine & Rehabilitation Physician
  • New Braunfels, TX
  • NPI 1679821516
  Medicare reassignment NPD Authorized official
• Mary a. Gonzales, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1396714127
  NPD (past)

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

• St. Davids Healthcare Partnership, L.P., LLP

  • Rehabilitation Hospital Unit
  • Austin, TX
  • NPI 1497903728

  Inpatient rehabilitation facility

  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  dba Heart Hospital of Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1659574556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678895",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678895",
            "telephone_number": "727-560-0522",
            "fax_number": "866-735-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E 32ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052703",
            "telephone_number": "512-544-5116",
            "fax_number": "866-735-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3568 Shoreline Cir",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346841743",
            "country_code": "US",
            "telephone_number": "727-560-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANASA",
        "first_name": "POONAM",
        "middle_name": "MEHTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301089924",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME104594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas George Mamey
• Camille Gonzalez Mami, PH.D.
• Shanya Manadier
• Munsa Manandhar
• Daniel Manas, PT, DPT, OCS, CSCS
• Jason Mance, PHARMD
• Luciano Mancera, M.D.
• Louis Garcia Mancha III, LVN
• Neeraj Manchanda, M.D.
• Ramiro Mancilla Jr., MD

• Physical Medicine & Rehabilitation Physician in Austin, TX
• Providers in Austin, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.