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DR. EZHILARASI MANICKAVASAGAM M.D
NPI 1013171412
Pediatrics in Temple, TX

Active since July 15, 2008PECOS Enrolled
2112 SW H K DODGEN LOOP STE 110, TEMPLE, TX 76504(877) 800-5722 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2024, Mar 9, 2021, May 18, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Ezhilarasi Manickavasagam M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EZHILARASI MANICKAVASAGAM M.D (NPI 1013171412) is an individual pediatrics provider in Temple, Texas, licensed in Texas (S2837) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Harker Heights.

NPPES Registry Identity

NPI1013171412
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. EZHILARASI MANICKAVASAGAMCredential: M.D
Location Address2112 SW H K DODGEN LOOP STE 110Temple, TX 76504-7011
Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722
Phone(877) 800-5722
Sole ProprietorNo
Enumeration DateJuly 15, 2008
Last NPPES UpdateJuly 16, 20254 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1013171412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · S2837
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2112 SW H K DODGEN LOOP STE 110, Temple, TX 76504
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Secondary Practice Location 1

Location 1200 Nola Ruth BlvdHarker Heights, TX 76548-6074 · Phone (877) 800-5722

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ezhilarasi Manickavasagam M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOSEPHINE LARBI-BOAMAH
Social Worker (Clinical)
2112 SW H K DODGEN LOOP STE 110
TEMPLE, TX 76504
Bell County (877) 800-5722
VELDA ANN VARGAS NP
Nurse Practitioner (Family)
2112 SW H K DODGEN LOOP STE 110
TEMPLE, TX 76504
Bell County (877) 800-5722
MR. JIMMY LANCE SPAKES II FNP-BC
Nurse Practitioner (Family)
2112 SW H K DODGEN LOOP STE 110
TEMPLE, TX 76504
Bell County (877) 800-5722
KIMBERLEY MICHELLE JIRASEK MA, LPC
Counselor (Professional)
2112 SW H K DODGEN LOOP STE 110
TEMPLE, TX 76504
Bell County (877) 800-5722
LONE STAR CIRCLE OF CARE
Clinic/Center (Federally Qualified Health Center (FQHC))
2112 SW H K DODGEN LOOP STE 110
TEMPLE, TX 76504
Bell County (877) 800-5722
MONIQUE R MILLS MD
Pediatrics
2112 SW H K DODGEN LOOP STE 110
TEMPLE, TX 76504
Bell County (877) 800-5722
HILDA BROWN-PRIER
Social Worker (Clinical)
2112 SW H K DODGEN LOOP STE 110
TEMPLE, TX 76504
Bell County (877) 800-5722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezhilarasi Manickavasagam's NPI number?

The NPI number for Ezhilarasi Manickavasagam is 1013171412. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Ezhilarasi Manickavasagam located?

Ezhilarasi Manickavasagam practices at 2112 SW H K Dodgen Loop Ste 110, Temple, TX 76504. The listed phone number is (877) 800-5722.

What is Ezhilarasi Manickavasagam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ezhilarasi Manickavasagam enrolled in Medicare?

Yes. Ezhilarasi Manickavasagam is registered in the Medicare PECOS enrollment system.

What insurance does Ezhilarasi Manickavasagam accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Ezhilarasi Manickavasagam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ezhilarasi Manickavasagam was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.