Individual provider Active NPI

William M Mania, MD PA

  • Internal Medicine Physician
  • Richardson, TX
National Provider Identifier
1770599326
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F9770 Issued in TX
Practice address
375 Municipal Drive
#110
Richardson, TX 75080-3543
Phone
(972) 669-9777
Fax
(977) 783-6664
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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 F9770 TX Primary

Addresses

Primary practice location

375 Municipal Drive
#110
Richardson, TX 75080-3543

Mailing address

375 Municipal Drive
#110
Richardson, TX 75080-3543
Phone (972) 669-9777

Other identifiers 1

IdentifierTypeStateIssuer
00QT75OtherTXBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000144 TX Practitioner - Internal Medicine 8729248075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

375 Municipal Dr
Suite 110
Richardson, TX 75080-3543
Phone (972) 669-9777

5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212

Hospital & facility affiliations

  • Rejoice Hospice Inc Hospice, Richardson, TX, CCN 741577
  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

Merit-based Incentive Payment System (MIPS)

Final score
23.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F9770TXMDInternal Medicine Physician

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rejoice Hospice IncRichardson, TX, CCN 741577 Hospice Contracted Managing Employee Feb 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1770599326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DRIVE",
            "address_2": "#110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803543",
            "telephone_number": "972-669-9777",
            "fax_number": "972-783-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DRIVE",
            "address_2": "#110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803543",
            "telephone_number": "972-669-9777",
            "fax_number": "977-783-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIA",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00QT75",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.