Individual provider Active NPI

Daisy Manalel, PA-C

  • Physician Assistant
  • Rockwall, TX
National Provider Identifier
1962773762
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07572 Issued in TX
Practice address
3140 Horizon Rd Ste 101
Rockwall, TX 75032-7822
Phone
(972) 772-5522
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA07572 TX
Physician Assistant 363A00000X PA07572 TX Primary

Addresses

Primary practice location

3140 Horizon Rd Ste 101
Rockwall, TX 75032-7822

Mailing address

6530 Farmington Rd
West Bloomfield, MI 48322-3216

Other practice location 1

6530 Farmington Rd
West Bloomfield, MI 48322-3216
Phone (313) 433-5624

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmanalel386375@direct.hfhs.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804000851 TX Practitioner - Physician Assistant 1153624606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Aug 1, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince Aug 1, 2023 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3140 Horizon Rd
Ste 101
Rockwall, TX 75032
Phone (972) 772-5522

Interoperability endpoints

  • Direct secure messaging: dmanalel2405817@direct.texashealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1962773762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 FARMINGTON RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 HORIZON RD STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327822",
            "telephone_number": "972-772-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6530 Farmington Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223216",
            "country_code": "US",
            "telephone_number": "313-433-5624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANALEL",
        "first_name": "DAISY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07572",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmanalel386375@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "6530 Farmington Rd",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.