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DR. PRASAD MANIAN M.D.
NPI 1194777318
Internal Medicine - Pulmonary Disease in Houston, TX

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6624 FANNIN ST, SUITE 1730, HOUSTON, TX 77030(713) 255-4000(713) 255-4050 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Prasad Manian M.d. NPPES

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

DR. PRASAD MANIAN M.D. (NPI 1194777318) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (J0897) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1194777318
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PRASAD MANIANCredential: M.D.
Location Address6624 FANNIN ST, SUITE 1730Houston, TX 77030-2312
Mailing AddressDept 794, Po Box 4346Houston, TX 77210-4346 · (713) 255-4000 · Fax (713) 255-4050
Phone(713) 255-4000
Fax(713) 255-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 16, 2006
Last NPPES UpdateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
✔ NPI 1194777318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · J0897
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License J0897 (TX)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License J0897 (TX)
6624 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 4

Other8R1142TX · Blue Cross Prov #
Medicaid128604906TX
OtherP00189872TX · Railroad Medicare #
Other5560068TX · Aetna Prov #

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 and accepts Medicare assignment

Dr. Prasad Manian M.d. 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 ID648241752
PECOS Enrollment IDI20040803000819
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
131 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
88 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers183 claims183 services$32.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers101 claims101 services$73.63 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers102 claims277 services$28.35 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers103 claims574 services$14.90 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers53 claims312 services$12.78 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers157 claims157 services$45.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JAIME BENREY MD
Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST, STE 2310
HOUSTON, TX 77030
Harris County (713) 796-2668
MARISOL J SKIBIN P.T.
Physical Therapist
6624 FANNIN ST, SUITE 2600
HOUSTON, TX 77030
Harris County (713) 790-1818
MELANIE EHNI MOUZOON MD
Pediatrics
6624 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 442-0000
SAMAR SHETH MD
Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST, SUITE 2320
HOUSTON, TX 77030
Harris County (832) 355-6676
FRANK TRAVIS GEROW M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
6624 FANNIN ST, SUITE 2600
HOUSTON, TX 77030
Harris County (713) 790-1818
DAWN DENISE SHORT CNM
Advanced Practice Midwife
6624 FANNIN ST, SUITE 1800
HOUSTON, TX 77030
Harris County (713) 797-1144
HOUSTON HEART CLINIC
Internal Medicine (Cardiovascular Disease)
6624 FANNIN ST, STE. 1590
HOUSTON, TX 77030
Harris County (713) 759-9901
SUSHANTH BEERAVOLU REDDY DO
Hospitalist
6624 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 442-0427

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 Prasad Manian's NPI number?

The NPI number for Prasad Manian is 1194777318. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Prasad Manian located?

Prasad Manian practices at 6624 Fannin St Suite 1730, Houston, TX 77030. The listed phone number is (713) 255-4000.

What is Prasad Manian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Prasad Manian enrolled in Medicare?

Yes. Prasad Manian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Prasad Manian 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 5 other insurers list Prasad Manian 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.

Is Prasad Manian affiliated with any hospitals?

According to CMS data, Prasad Manian is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Prasad Manian was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.