Individual provider Active NPI

Mani Bashyam, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Greensburg, PA
National Provider Identifier
1801993514
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD069819L Issued in PA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0017815200001MedicaidPA

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
I20191122001679 TX Practitioner - Endocrinology 9335279397 Reassigns benefits to 1 organization

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
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

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

LicenseStateTypeSpecialty
MD069819LPAMDEndocrinology, Diabetes & Metabolism Physician
34562COMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Nov 11, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 11, 2019 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 PastSince Apr 25, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.