Organization Active NPI

Manohar M Alloju M D P a

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1659640563
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MANOHAR M ALLOJU M D P A
Practice address
12549 Gulf Fwy
Houston, TX 77034-4509
Phone
(281) 922-7901
Fax
(281) 922-7903
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Manohar Alloju, MDNPI 1053312447
Title
President
Phone
(281) 922-7901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12549 Gulf Fwy
Houston, TX 77034-4509

Mailing address

12549 Gulf Fwy
Houston, TX 77034-4509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000206 TX Part B Supplier - Clinic/Group Practice 1153428149 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1659640563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12549 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12549 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344509",
            "telephone_number": "281-922-7901",
            "fax_number": "281-922-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOHAR M ALLOJU M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "ALLOJU",
        "authorized_official_first_name": "MANOHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-922-7901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.