NPIMap

Individual provider Active NPI

Neeraj Manchanda, M.D.

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1790711976
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N1754 Issued in TX
Practice address
1700 Randolph Ridge Trail
#180
Austin, TX 78746
Phone
(512) 535-2286
Fax
(512) 535-2286
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N1754 TX
Neurology Physician 2084N0400X N1754 TX Primary

Addresses

Primary practice location

1700 Randolph Ridge Trail
#180
Austin, TX 78746

Mailing address

1700 Randolph Ridge Trail
#180
Austin, TX 78746
Phone (512) 535-2286

Other identifiers 4

IdentifierTypeStateIssuer
4577413MedicaidMI
202430905MedicaidTX
202430904MedicaidTX
202430906MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000413 TX Practitioner - NeurologyPractitioner - Internal MedicinePractitioner - Sleep Medicine 9830085752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kohinoor Medical Associates PAGroup PAC ID 4284811969, 3 clinicians

Practice addresses (Care Compare)

1550 Dacy LN
Kyle, TX 78640-4442
Phone (512) 551-0846

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as individual
Quality
75.03
Promoting interoperability
93
Improvement activities
40
Cost
80.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kohinoor Medical Associates PA Internal Medicine CurrentSince Mar 15, 2014 Accepting new patients
Alcona Citizens for Health, Inc. PastSince Jan 1, 1990 Accepting new patients
Alcona Citizens for Health, Inc. PastSince Jan 1, 1990 Accepting new patients
Alcona Citizens for Health, Inc PastSince Jan 1, 1990 Accepting new patients
Alcona Citizens for Health Inc PastSince Jan 1, 1990 Accepting new patients
Alcona Citizens for Health, Inc PastSince Jan 1, 1990 Accepting new patients
Alcona Citizens for Health, Inc. PastSince Jan 1, 1990 Accepting new patients
Alcona Citizens for Health, Inc. PastSince Jan 1, 1990 Accepting new patients

Locations

1550 Dacy Ln
Kyle, TX 78640
Phone (512) 551-0846

4407 Bee Caves Rd
Ste 301
West Lake Hills, TX 78746
Phone (512) 443-3436

Interoperability endpoints

  • Direct secure messaging: neeraj.manchanda.1@8798.direct.athenahealth.com

Organizations & group practices 8

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 5

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1790711976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RANDOLPH RIDGE TRAIL",
            "address_2": "#180",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-535-2286",
            "fax_number": "512-535-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RANDOLPH RIDGE TRAIL",
            "address_2": "#180",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-535-2286",
            "fax_number": "512-535-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHANDA",
        "first_name": "NEERAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1754",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N1754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4577413",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202430905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202430904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202430906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.