Individual provider Active NPI

Shyam Prabhakant Mani, M.D.

  • Internal Medicine Physician
  • Houma, LA
National Provider Identifier
1780029645
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
303437 Issued in LA
Practice address
144 Valhi Lagoon Xing
Houma, LA 70360-3208
Phone
(985) 262-1639
Fax
(985) 262-8197
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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 303437 LA Primary

Addresses

Primary practice location

144 Valhi Lagoon Xing
Houma, LA 70360-3208

Mailing address

144 Valhi Lagoon Xing
Houma, LA 70360-3208
Phone (985) 262-1639

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
I20161107002530 LA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9133408545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Louisiana Medical AssociatesGroup PAC ID 8527968650, 112 clinicians

Practice addresses (Care Compare)

1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300

Hospital & facility affiliations

  • Leonard J Chabert Medical Center Hospital, Houma, LA, CCN 190183
  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
  • Ochsner St Mary Hospital, Morgan City, LA, CCN 190014
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana Medical Associates Current Accepting new patients
Terrebonne Parish Hospital Service District #1 Internal Medicine PastSince Jul 1, 2019 Accepting new patients

Locations

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

112 Picone Rd
Houma, LA 70363
Phone (985) 873-2700

8166 Main St
Ste 102
Houma, LA 70360
Phone (985) 857-8093

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

1978 Industrial Blvd
Houma, LA 70363
Phone (985) 873-1814

Interoperability endpoints

  • Direct secure messaging: smani202633@direct.ochsner.org
  • Direct secure messaging: phys_shyam_mani_md@yourcarecommunity.org

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 4

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1780029645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 VALHI LAGOON XING",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603208",
            "telephone_number": "985-262-1639",
            "fax_number": "985-262-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 VALHI LAGOON XING",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603208",
            "telephone_number": "985-262-1639",
            "fax_number": "985-262-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANI",
        "first_name": "SHYAM",
        "middle_name": "PRABHAKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "303437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.