MS. MANGA TELIDEVARA NP
NPI 1497474373
Nurse Practitioner - Family in Montgomery, TX
About Ms. Manga Telidevara Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MANGA TELIDEVARA NP (NPI 1497474373) is an individual family provider in Montgomery, Texas, licensed in Texas (1090732) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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)
Ms. Manga Telidevara Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Three Rivers Medical Center
Acute Care Hospitals · Grants Pass, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Manga Telidevara's NPI number?
The NPI number for Manga Telidevara is 1497474373. It was assigned to this individual provider in the NPPES registry on August 24, 2022.
Where is Manga Telidevara located?
Manga Telidevara practices at 615 Worsham St, Montgomery, TX 77316. The listed phone number is (281) 650-0945.
What is Manga Telidevara's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Manga Telidevara enrolled in Medicare?
Yes. Manga Telidevara is registered in the Medicare PECOS enrollment system.
What insurance does Manga Telidevara accept?
Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Manga Telidevara 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 Manga Telidevara affiliated with any hospitals?
According to CMS data, Manga Telidevara is affiliated with Asante Three Rivers Medical Center.
When was this NPI record last updated?
The NPPES record for Manga Telidevara was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Ms. Manga Telidevara, NP · NPI 1497474373
Family physician in Montgomery, Texas. Individual provider, active in the CMS NPPES registry since August 24, 2022.
## Identity
- **NPI:** 1497474373 (Entity type: Individual)
- **Enumerated:** August 24, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1090732 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 WORSHAM ST, Montgomery, TX 77316-4497
- **Phone:** (281) 650-0945
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497474373) · Data from the CMS NPPES public registry.