Raju Mantena, D.O

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

P4780 Issued in TX

Practice address

1724 Richmond Ave
Houston, TX 77098

Phone

(832) 783-9100

Fax

(832) 783-9101

NPI assigned

Jun 24, 2005

Last updated

Jan 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 2

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

AnesthesiologyAlso: Pain Management

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Remix Medical, PLLCGroup PAC ID 9638437338, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Medical Center Hospital, Houston, TX, CCN 450659

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJDCCD
• Direct secure messaging: raju.mantena.1@13131.direct.athenahealth.com
• Direct secure messaging: raju.mantena.2@11939.direct.athenahealth.com
• Direct secure messaging: raju.mantena.4@11939.direct.athenahealth.com

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.

• Remix Medical, PLLC

  • Nephrology Physician
  • Houston, TX
  • NPI 1891207601

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Dynamic Anesthesia Providers PLLC

  dba Houston Healthcare Associates

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1346752326
  Medicare reassignment NPD
• North Houston Family Medicine PLLC

  • Family Medicine Physician
  • Spring, TX
  • NPI 1336585397

  Pain Medicine

  Medicare reassignment NPD
• Cypresswood Physicians PLLC

  • Hospitalist Physician
  • Spring, TX
  • NPI 1043605785
  NPD (past)
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD (past)
• North American Partners in Pain Management LLP

  • Pain Medicine (Anesthesiology) Physician
  • Melville, NY
  • NPI 1912999319
  NPD (past)

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

• Houston - PPH, LLC

  dba HCA Houston Healthcare Medical Center

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1073043592
  Care Compare affiliation

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1770589731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 GARDEN OAKS BLVD # 51007",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185501",
            "telephone_number": "713-597-5131",
            "fax_number": "855-835-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77098",
            "telephone_number": "832-783-9100",
            "fax_number": "832-783-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7015 Almeda Rd",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542101",
            "country_code": "US",
            "telephone_number": "516-496-6447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7015 Almeda Rd",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542101",
            "country_code": "US",
            "telephone_number": "516-496-6447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTENA",
        "first_name": "RAJU",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "227337",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NY",
            "license": "227337",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "227337",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "P4780",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "227337",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "227337",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "P4780",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8HS306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458588",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nabil Mansour, MD
• Anusia Mansukhani, DO
• Cheryl Gomez Mantaring, NP-C
• Rosario P. Mante, RN, FNP, CNS
• Natalie Manteca, LOTA
• Yogita Mantena, DO
• Patricia Mantero
• Smitha Mantha, DPM
• Nathaniel Manthey, RN
• Robin King Mantilla, SLP

• Pain Medicine (Anesthesiology) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.