MANI K MD PA
NPI 1720369473
Family Medicine in Baytown, TX
About Mani K Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANI K MD PA (NPI 1720369473) is a healthcare organization registered as a family medicine in Baytown, Texas and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Sepi Moghaddam, Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mani K Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mani K MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2056148
Mani K MD PA · Baytown, TXFrequently 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 Mani K MD PA's NPI number?
The NPI number for Mani K MD PA is 1720369473. It was assigned to this organization in the NPPES registry on September 7, 2011.
Where is Mani K MD PA located?
Mani K MD PA is located at 2223 Rollingbrook Dr Ste 125, Baytown, TX 77521. The listed phone number is (281) 420-3565.
What is Mani K MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mani K MD PA enrolled in Medicare?
Yes. Mani K MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mani K MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mani K MD PA, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mani K MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2056148) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mani K MD PA was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mani K Md Pa · NPI 1720369473
Family Medicine organization in Baytown, Texas. Organization record, active in the CMS NPPES registry since September 7, 2011.
## Identity
- **NPI:** 1720369473 (Entity type: Organization)
- **Enumerated:** September 7, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sepi Moghaddam, MANAGEMENT
## Practice location
- **Address:** 2223 ROLLINGBROOK DR STE 125, Baytown, TX 77521-3656
- **Phone:** (281) 420-3565 · **Fax:** (281) 427-7808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720369473) · Data from the CMS NPPES public registry.