Active NPI
Manal Yousef Tantoush, MD
- Pediatric Endocrinology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- Q4701
- Practice address
- 1 Baylor PLZ Ste 405a
Houston, TX 77030-3411 - Phone
- (713) 798-5928
- Fax
- (718) 579-4744
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q4701 | TX | |
| Pediatric Endocrinology Physician | 2080P0205X | Q4701 | TX | Primary |
Addresses
Primary practice location
1 Baylor PLZ Ste 405a
Houston, TX 77030-3411
Mailing address
1 Baylor PLZ Ste 405a
Houston, TX 77030-3411
Phone (713) 798-5928
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q4701 | TX | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Pediatrics | Current | Accepting new patients |
| El Centro de Corazon | Current | Accepting new patients |
Locations
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
412 Telephone Rd
Houston, TX 77023
Phone (713) 660-1880
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
7635 Canal St
Houston, TX 77012
Phone (713) 660-1880
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
Interoperability endpoints
- mtantoush384693@prddirect.texaschildrens.org
- mtantoush1047156@nychhc.direct-ci.com
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1932171667
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1700858446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1659623387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ STE 405A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "713-798-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ STE 405A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "713-798-5928",
"fax_number": "718-579-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANTOUSH",
"first_name": "MANAL",
"middle_name": "YOUSEF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2024-05-17",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q4701",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "TX",
"license": "Q4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.