Individual provider Active NPI

Manzure Mawla, D.O.

  • Vascular Neurology Physician
  • Austin, TX
National Provider Identifier
1831519172
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
S1654 Issued in TX
Practice address
1600 W 38TH St Ste 200
Austin, TX 78731-6405
Phone
(512) 324-8355
NPI assigned
Apr 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DO034738 DC
Neurology Physician 2084N0400X S1654 TX
Vascular Neurology Physician 2084V0102X S1654 TX Primary

Addresses

Primary practice location

1600 W 38TH St Ste 200
Austin, TX 78731-6405

Mailing address

10 Center Drive Room B1D733
Bethesda, MD 20892-0001
Phone (301) 435-9321

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
I20190906002055 TX Practitioner - Neurology 7618260977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

5235 Overpass Rd
Suite 100
Buda, TX 78610-9753
Phone (512) 324-3580

Hospital & facility affiliations

  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO034738DCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Neurology Current Accepting new patients
Seton Family of Doctors Neurology CurrentSince Jul 29, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Jul 29, 2019 Accepting new patients

Locations

1600 W 38th St
Ste 200
Austin, TX 78731
Phone (512) 324-3580

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

5235 Overpass Rd
Ste 100
Buda, TX 78610
Phone (512) 324-3580

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: manzure.mawla.1@8363.direct.athenahealth.com

Organizations & group practices 3

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1831519172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE ROOM B1D733",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-435-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316405",
            "telephone_number": "512-324-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWLA",
        "first_name": "MANZURE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "DO034738",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "S1654",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "S1654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.