DR. MANIKA PATWARI DMD, MS
NPI 1316112782
Dentist - Orthodontics and Dentofacial Orthopedics in Houston, TX

Active since April 28, 2008Opted out of Medicare · through Apr 4, 2027
4230 AMHERST ST, HOUSTON, TX 77005(262) 501-1529 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Mar 10, 2020 (2 updates tracked since 2020).

About Dr. Manika Patwari Dmd, Ms NPPES

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

DR. MANIKA PATWARI DMD, MS (NPI 1316112782) is an individual orthodontics and dentofacial orthopedics provider in Houston, Texas, licensed in Texas (39811) and active in the NPI registry since April 2008. She has opted out of Medicare through April 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316112782
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. MANIKA PATWARICredential: DMD, MS
Location Address4230 AMHERST STHouston, TX 77005-2704
Mailing AddressW178n9201 Water Tower Pl Ste 100Menomonee Falls, WI 53051-8029 · (262) 251-8704
Sole ProprietorNo
Enumeration DateApril 28, 2008
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
NPI 1316112782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in TX · 39811 Licensed in WI · 6360-15
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 21870 (MA)
4230 AMHERST ST, Houston, TX 77005

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Manika Patwari Dmd, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 4, 2017 through April 4, 2027.

Opt-Out Effective DateApril 4, 2017
Opt-Out In Effect ThroughApril 4, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77005 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Manika Patwari's NPI number?

The NPI number for Manika Patwari is 1316112782. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Manika Patwari located?

Manika Patwari practices at 4230 Amherst St, Houston, TX 77005. The listed phone number is (262) 501-1529.

What is Manika Patwari's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Manika Patwari enrolled in Medicare?

No. Manika Patwari has opted out of Medicare through April 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Manika Patwari 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 18 other insurers list Manika Patwari 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 Manika Patwari was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.