Individual provider Active NPI

Ralph Michael Mancini, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1881646974
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
E7178 Issued in TX
Practice address
1044 Candlelight LN
Houston, TX 77018-2004
Phone
(713) 984-9595
Fax
(713) 984-8576
NPI assigned
May 17, 2006
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X E7178 TX Primary

Addresses

Primary practice location

1044 Candlelight LN
Houston, TX 77018-2004

Mailing address

PO Box 925510
Houston, TX 77292-5510
Phone (713) 984-9595

Other identifiers 2

IdentifierTypeStateIssuer
89G540OtherTXMEDICARE PTAN
117137302MedicaidTX

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
I20100630000808 TX Practitioner - Physical Medicine and Rehabilitation 9537138938

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7178TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Houston Rehabilitation Associates, P.a. CurrentSince Nov 8, 1989 Accepting new patients
Encompass Health Rehabilitation Hospital of Sugar Land, LLC Past Accepting new patients
Memorial Hermann Continuing Care Corporation PastSince Oct 1, 2004 Accepting new patients
Integranet-Gulf Coast PA Past Accepting new patients

Locations

1325 Highway 6
Sugar Land, TX 77478
Phone (281) 276-7574

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1881646974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772925510",
            "telephone_number": "713-984-9595",
            "fax_number": "713-984-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 CANDLELIGHT LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770182004",
            "telephone_number": "713-984-9595",
            "fax_number": "713-984-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "RALPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "E7178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "89G540",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117137302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.