Active NPI
Ralph Michael Mancini, M.D.
- Physical Medicine & Rehabilitation Physician
- Houston, TX
National Provider Identifier
1881646974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- E7178
- 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, 2013
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89G540 | Other | TX | MEDICARE PTAN |
| 117137302 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100630000808 | TX | Practitioner - Physical Medicine and Rehabilitation | 9537138938 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E7178 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Houston Rehabilitation Associates, P.a. | Current | Accepting new patients | |
| Encompass Health Rehabilitation Hospital of Sugar Land, LLC | Past | Accepting new patients | |
| Memorial Hermann Continuing Care Corporation | Past | 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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1801848940
-
dba Encompass Health Rehabilitation Hospital of Sugar Land
- Rehabilitation Hospital
- Sugar Land, TX
- NPI 1518287721
-
- Family Medicine Physician
- Houston, TX
- NPI 1831414838
-
dba Memorial Hermann Spring Shadows Pines
- Assisted Living Facility
- Houston, TX
- NPI 1619902475
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.