PREMA MANJUNATH MD
NPI 1013962745
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fort Worth, TX

Active since May 23, 2006PECOS Enrolled
855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 927-3638(817) 923-8769 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prema Manjunath Md NPPES

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

PREMA MANJUNATH MD (NPI 1013962745) is an individual child & adolescent psychiatry provider in Fort Worth, Texas, licensed in Texas (H3699) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013962745
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NamePREMA MANJUNATHCredential: MD
Location Address855 MONTGOMERY STFort Worth, TX 76107-2553
Mailing AddressPo Box 99335Fort Worth, TX 76199-0335 · (817) 927-3638 · Fax (817) 923-8769
Fax(817) 923-8769
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 9, 2016
NPI 1013962745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in TX · H3699
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License H3699 (TX)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License H3699 (TX)
855 MONTGOMERY ST, Fort Worth, TX 76107

Other Identifiers 5

Medicare UPINE79317TX
OtherP00340949TX · Railroad Medicare
Other83702STX · Bcbs
Medicaid135013410TX
Medicare PIN8G4935TX

Accepted 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)

Prema Manjunath Md 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.

Other Providers at the Same Location NPPES 20

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

Pathology (Clinical Pathology/Laboratory Medicine)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Family Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107
Dermatology
855 MONTGOMERY ST
FORT WORTH, TX 76107
Psychiatry & Neurology (Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Neuromusculoskeletal Medicine & OMM
855 MONTGOMERY ST
FORT WORTH, TX 76107
Student in an Organized Health Care Education/Training Program
855 MONTGOMERY ST
FORT WORTH, TX 76107
Physician Assistant
855 MONTGOMERY ST
FORT WORTH, TX 76107
Internal Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107

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 Prema Manjunath's NPI number?

The NPI number for Prema Manjunath is 1013962745. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Prema Manjunath located?

Prema Manjunath practices at 855 Montgomery St, Fort Worth, TX 76107. The listed phone number is (817) 927-3638.

What is Prema Manjunath's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Prema Manjunath enrolled in Medicare?

Yes. Prema Manjunath is registered in the Medicare PECOS enrollment system.

What insurance does Prema Manjunath accept?

Health plans from Molina Healthcare, Oscar Insurance Company, UnitedHealthcare and WellPoint list Prema Manjunath 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 Prema Manjunath was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.