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DR. MANITH BONDUGULA
NPI 1588168157
Internal Medicine in Fort Worth, TX

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1001 12TH AVE STE 102, FORT WORTH, TX 76104(817) 725-7880(817) 447-7110 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 2, 2025, Sep 2, 2022, Nov 22, 2021 and 3 more (6 updates tracked since 2018).

About Dr. Manith Bondugula NPPES

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

DR. MANITH BONDUGULA (NPI 1588168157) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (T4126) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Medical City North Hills, and maintains a secondary practice location in Burleson.

NPPES Registry Identity

NPI1588168157
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MANITH BONDUGULA
Location Address1001 12TH AVE STE 102Fort Worth, TX 76104-3926
Mailing Address1000 Cannon St.Fort Worth, TX 76104 · (817) 725-7900 · Fax (682) 207-1030
Phone(817) 725-7880
Fax(817) 447-7110
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 20, 2018
Last NPPES UpdateApril 2, 20256 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1588168157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · T4126✔ Licensed in TX · 47326
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1001 12TH AVE STE 102, Fort Worth, TX 76104
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Secondary Practice Location 1

Location 1265 SE John Jones Dr Ste 102Burleson, TX 76028-8356 · Phone (682) 990-0747 · Fax (817) 447-7100

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. Manith Bondugula 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 ID8224385653
PECOS Enrollment IDI20210625000312
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 8

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.
660 services177 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
243 services207 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.
223 services195 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
217 services59 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
173 services161 patients
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235
This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.
32 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Medical City North Hills

Acute Care Hospitals · North Richland Hills, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450087
Location4401 Booth Calloway RoadNorth Richland Hills, TX 76180 · Tarrant County
Emergency services

Glen Rose Medical Center

Acute Care Hospitals · Glen Rose, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450451
Location1021 Holden StreetGlen Rose, TX 76043 · Somervell County
Emergency services

Palo Pinto General Hospital

Acute Care Hospitals · Mineral Wells, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450565
Location400 Southwest 25 AveMineral Wells, TX 76067 · Palo Pinto County
Emergency services Birthing friendly

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450672
Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers56 claims56 services$15.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers53 claims53 services$74.18 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 3

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

FEEZA HASAN
Internal Medicine
1001 12TH AVE STE 102
FORT WORTH, TX 76104
Tarrant County (817) 725-7880
MS. CAROL ELIZABETH LEIDLEIN APRN
Nurse Practitioner
1001 12TH AVE STE 102
FORT WORTH, TX 76104
Tarrant County (817) 877-4105
MR. GLEN ELDON TULLOUS III FNP-C
Nurse Practitioner (Family)
1001 12TH AVE STE 102
FORT WORTH, TX 76104
Tarrant County (817) 725-7880

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 Manith Bondugula's NPI number?

The NPI number for Manith Bondugula is 1588168157. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Manith Bondugula located?

Manith Bondugula practices at 1001 12th Ave Ste 102, Fort Worth, TX 76104. The listed phone number is (817) 725-7880.

What is Manith Bondugula's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manith Bondugula enrolled in Medicare?

Yes. Manith Bondugula 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 Manith Bondugula accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Manith Bondugula 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 Manith Bondugula affiliated with any hospitals?

According to CMS data, Manith Bondugula is affiliated with Medical City North Hills, Glen Rose Medical Center, Palo Pinto General Hospital and Medical City Fort Worth.

When was this NPI record last updated?

The NPPES record for Manith Bondugula was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.