DR. ALBERT PRADEEP MANUDHANE MD
NPI 1174180608
Internal Medicine - Gastroenterology in San Antonio, TX

Q: What is Albert Manudhane's NPI number?

The NPI number for Albert Manudhane is 1174180608. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Albert Manudhane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Albert Manudhane was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000(210) 358-4775 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2026, May 20, 2020, May 21, 2019 (3 updates tracked since 2019).

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About Dr. Albert Pradeep Manudhane Md NPPES

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

DR. ALBERT PRADEEP MANUDHANE MD (NPI 1174180608) is an individual gastroenterology provider in San Antonio, Texas, licensed in Texas (W5876) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1174180608

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ALBERT PRADEEP MANUDHANECredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000 · Fax (210) 358-4775

Phone(210) 358-4000

Fax(210) 358-4775

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 21, 2019

Last NPPES UpdateJune 1, 20263 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1174180608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · W5876

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License LP04519 (RI), 35.144238 (OH)

4502 MEDICAL DR, San Antonio, TX 78229

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Secondary Practice Location 1

Location 17979 Wurzbach RdSan Antonio, TX 78229-4427 · Phone (210) 743-4324 · Fax (210) 702-4136

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Albert Pradeep Manudhane Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769715754

PECOS Enrollment IDI20250909002746

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340061

Location101 Manning DriveChapel Hill, NC 27514 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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.

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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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)