Active NPI
Mani K MD PA
- Family Medicine Physician
- Baytown, TX
National Provider Identifier
1720369473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N7292
- Legal business name
- MANI K MD PA
- Practice address
- 2223 Rollingbrook Dr Ste 125
Baytown, TX 77521-3656 - Phone
- (281) 420-3565
- Fax
- (281) 427-7808
- NPI assigned
- Sep 7, 2011
- Last updated
- Jul 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sepi Moghaddam
- Title
- Management
- Phone
- (281) 420-3565
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N7292 | TX | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | N7292 | TX |
Addresses
Primary practice location
2223 Rollingbrook Dr Ste 125
Baytown, TX 77521-3656
Mailing address
2223 Rollingbrook Dr Ste 125
Baytown, TX 77521-3656
Phone (281) 420-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2056148 | Mani K MD PA | Certificate of waiver | Mar 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
2223 Rollingbrook Dr
Ste 125
Baytown, TX 77521
Phone (281) 420-3565
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Baytown, TX
- NPI 1275732976
-
- Family Nurse Practitioner
- Galveston, TX
- NPI 1871166884
-
- Physician Assistant
- Houston, TX
- NPI 1134801392
-
- Physician Assistant
- Houston, TX
- NPI 1578031415
-
- Adult Health Nurse Practitioner
- Baytown, TX
- NPI 1427970946
-
- Family Medicine Physician
- Baytown, TX
- NPI 1699772186
-
- Family Medicine Physician
- Baytown, TX
- NPI 1194892752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753142400000",
"number": "1720369473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 ROLLINGBROOK DR STE 125",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213656",
"telephone_number": "281-420-3565",
"fax_number": "281-427-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 ROLLINGBROOK DR STE 125",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213656",
"telephone_number": "281-420-3565",
"fax_number": "281-427-7808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANI K MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-07",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A",
"authorized_official_last_name": "MOGHADDAM",
"authorized_official_first_name": "SEPI",
"authorized_official_title_or_position": "MANAGEMENT",
"authorized_official_telephone_number": "281-420-3565"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "N7292",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "N7292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.