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DR. JOSE FERNANDO MANDUJANO M.D.
NPI 1508817206
Pediatrics - Pediatric Pulmonology in Frisco, TX

Active since May 15, 2006PECOS Enrolled
8501 WADE BLVD, BLDG. X, SUITE 1020, FRISCO, TX 75034(972) 668-5864(972) 668-5825 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 8, 2022, Jan 21, 2016 (2 updates tracked since 2016).

About Dr. Jose Fernando Mandujano M.d. NPPES

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

DR. JOSE FERNANDO MANDUJANO M.D. (NPI 1508817206) is an individual pediatric pulmonology provider in Frisco, Texas, licensed in Texas (K3320) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508817206
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameDR. JOSE FERNANDO MANDUJANOCredential: M.D.
Location Address8501 WADE BLVD, BLDG. X, SUITE 1020Frisco, TX 75034-5894
Mailing Address8501 Wade Blvd, Bldg. X, Suite 1020Frisco, TX 75034-5894 · (972) 668-5864 · Fax (972) 668-5825
Phone(972) 668-5864
Fax(972) 668-5825
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateJune 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1508817206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in TX · K3320
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedSpecialistTaxonomy 174400000X
8501 WADE BLVD, Frisco, TX 75034
Open in Google Maps ↗

Other Identifiers 1

Medicaid081278601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Fernando Mandujano M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jose Mandujano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Care, P.L.L.C.
21 mi
Ophthalmology
2201 WESTGATE PLAZA
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Health Care PLLC
  • 511 clinicians in this Medicare group
NPI 1164588596 (817) 410-2030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

MEGAN SARAH EDWARDS FNP
Nurse Practitioner (Family)
8501 WADE BLVD, 310
FRISCO, TX 75034
Denton County (972) 427-3570
PEDIATRIC PULMONARY ASSOC. OF N. TEXAS
Pediatrics (Pediatric Pulmonology)
8501 WADE BLVD, BLDG X SUITE 1020
FRISCO, TX 75034
Denton County (972) 566-5864
PEDIATRIC PULMONARY ASSOC. OF N. TEXAS
Specialist
8501 WADE BLVD, BLDG X, SUITE 1020
FRISCO, TX 75034
Denton County (972) 566-5864
SOUTHWEST IMAGING AND INTERVENTIONAL SPECILASITS
Radiology (Diagnostic Radiology)
8501 WADE BLVD
FRISCO, TX 75034
Denton County (214) 618-3420
RICHARD B. SILVER M.D.
Specialist
8501 WADE BLVD, BLDG. X, SUITE 1020
FRISCO, TX 75034
Denton County (972) 668-5864
CARLOS ALFREDO MEDINA M.D.
Pediatrics (Pediatric Pulmonology)
8501 WADE BLVD, BLDG. X, SUITE 1020
FRISCO, TX 75034
Denton County (972) 668-5864

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 Jose Mandujano's NPI number?

The NPI number for Jose Mandujano is 1508817206. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Jose Mandujano located?

Jose Mandujano practices at 8501 Wade Blvd Bldg. X, Suite 1020, Frisco, TX 75034. The listed phone number is (972) 668-5864.

What is Jose Mandujano's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Jose Mandujano enrolled in Medicare?

Yes. Jose Mandujano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Mandujano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Mandujano reassigns Medicare benefits to Texas Health Care, P.L.L.C. (Grapevine, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Mandujano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Mandujano accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CareSource and Cigna Healthcare list Jose Mandujano 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 Jose Mandujano was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.