Individual provider Active NPI

Himani Reddy Manthena, MD.

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1689024911
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
320550 Issued in LA
Practice address
401 Youngsville Hwy Ste 200B
Lafayette, LA 70508-5173
Phone
(337) 330-8523
NPI assigned
Jun 17, 2016
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 320550 LA Primary

Addresses

Primary practice location

401 Youngsville Hwy Ste 200B
Lafayette, LA 70508-5173

Mailing address

104 Westwood Dr
Apt 482
Lafayette, LA 70506-4036
Phone (337) 414-4268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20191004000557 LA Practitioner - Internal Medicine 1456642271 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
Hub City Physician Group LLCGroup PAC ID 3173831211, 26 clinicians
St. Martin Physician Services LLCGroup PAC ID 0446495410, 7 clinicians
Medicine Clinic of Acadiana, LLCGroup PAC ID 4486191715, 3 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

1310 W 7TH St
Kaplan, LA 70548-2910
Phone (337) 643-8300

210 Champagne Blvd
Breaux Bridge, LA 70517-3700
Phone (337) 332-2178

401 Youngsville Hwy
Suite 200C
Lafayette, LA 70508-5173
Phone (337) 330-8523

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Group of Acadiana, LLC CurrentSince Sep 1, 2019 Accepting new patients
Crowley Emergency Group LLC CurrentSince Oct 25, 2020 Accepting new patients
St Martin Physician Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Medicine Clinic of Acadiana, LLC Internal Medicine CurrentSince Jun 3, 2024 Accepting new patients
Coolidge Physician Services LLC CurrentSince Jun 30, 2020 Accepting new patients
Lourdes After Hours LLC CurrentSince Feb 18, 2024 Accepting new patients
Lourdes After Hours LLC CurrentSince Feb 18, 2024 Accepting new patients
Pediatric Group of Acadiana LLC CurrentSince Sep 1, 2019 Accepting new patients
Hub City Physician Group, LLC CurrentSince Oct 20, 2020 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
St Martin Hospital, Inc. Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1700 Kaliste Saloom Rd
Ste 101
Lafayette, LA 70508
Phone (337) 981-5085

401 Youngsville Hwy
#100
Lafayette, LA 70508
Phone (337) 330-0031

401 Youngsville Hwy
#200C
Lafayette, LA 70508

401 Youngsville Hwy
Ste 200B
Lafayette, LA 70508
Phone (337) 330-0031

401 Youngsville Hwy
Ste 200C
Lafayette, LA 70508
Phone (337) 330-8523

2308 E Main St
Ste G
New Iberia, LA 70560
Phone (337) 367-2001

302 Hacker St
New Iberia, LA 70560

520 N Lewis St
Ste 202
New Iberia, LA 70563
Phone (337) 367-2001

Interoperability endpoints

  • Direct secure messaging: hmanthena1452161@direct.ochsner.org

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1689024911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WESTWOOD DR",
            "address_2": "APT 482",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064036",
            "telephone_number": "337-414-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNGSVILLE HWY STE 200B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085173",
            "telephone_number": "337-330-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTHENA",
        "first_name": "HIMANI REDDY",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "320550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.