Active NPI
Mani Bashyam, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Greensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD069819L
- Practice address
- 540 South St
Suite 306
Greensburg, PA 15601-2774 - Phone
- (724) 832-3130
- Fax
- (724) 832-7301
- NPI assigned
- Sep 17, 2006
- Last updated
- Jan 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD069819L | PA | Primary |
Addresses
Primary practice location
540 South St
Suite 306
Greensburg, PA 15601-2774
Mailing address
540 South St
Suite 306
Greensburg, PA 15601-2774
Phone (724) 832-3130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017815200001 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
925 E Southlake Boulevard
100 Baylor Scott and White Urgent Care Southl
Southlake, TX 76092-1477
Phone (817) 912-8560
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD069819L | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
| 34562 | CO | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Southeast Colorado Hospital District Ambulance | Past | Accepting new patients | |
| Southeast Colorado Hospital District | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
1600 W College St
Ste 490
Grapevine, TX 76051
Phone (817) 310-0869
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
925 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone 2143582300 ext. 6225
Interoperability endpoints
- mbashyam573138@direct.sw.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Endocrinology, Diabetes & Metabolism
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Flower Mound, TX
- NPI 1427054402
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Ambulance
- Springfield, CO
- NPI 1336721265
-
- Ambulance
- Springfield, CO
- NPI 1316167489
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Grapevine
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1801993514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 SOUTH ST",
"address_2": "SUITE 306",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156012774",
"telephone_number": "724-832-3130",
"fax_number": "724-832-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 SOUTH ST",
"address_2": "SUITE 306",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156012774",
"telephone_number": "724-832-3130",
"fax_number": "724-832-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASHYAM",
"first_name": "MANI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD069819L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017815200001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
- Bartolomucci Family Medicine PLLC
- Kevin Michael Bartolomucci, D.O.
- Rebecca Lynn Bartolomucci, PA-C
- Subrata P Barua, M.D.
- Catherine L Bashioum, MS, ATC, LAT, PES
- Sherry Basile, PA-C
- Tanya Bass, LMFT
- Kimberley Ann Bassi-Cook, M.ED., L.P.C., N.C.C
- Teresa Ann Bassi-Cook, M.A., L.P.C., N.C.C
- Elizabeth Jane Bates, M.S., CCC-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.