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MANISHA CHANDALIA MD
NPI 1750347217
Internal Medicine - Endocrinology, Diabetes & Metabolism in Baytown, TX

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
81.92/100
CMS Quality Rating
4002 GARTH RD STE 120, BAYTOWN, TX 77521(281) 628-7240(281) 428-4044 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Jan 9, 2019 (2 updates tracked since 2019).

About Manisha Chandalia Md NPPES

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

MANISHA CHANDALIA MD (NPI 1750347217) is an individual endocrinology, diabetes & metabolism provider in Baytown, Texas, licensed in Texas (K2193) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1750347217
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMANISHA CHANDALIACredential: MD
Location Address4002 GARTH RD STE 120Baytown, TX 77521-3179
Mailing Address901 Kipp AveKemah, TX 77565-2944 · (281) 371-6674 · Fax (281) 371-6682
Phone(281) 628-7240
Fax(281) 428-4044
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateApril 25, 2006
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1750347217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · K2193
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4002 GARTH RD STE 120, Baytown, TX 77521
Open in Google Maps ↗

Secondary Practice Location 1

Location 12020 Nasa Pkwy Ste 218Houston, TX 77058-3683 · Phone (281) 371-6674

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

Manisha Chandalia Md 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 ID345228375
PECOS Enrollment IDI20040707001474
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
826 services362 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
468 services233 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
171 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
89 services89 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

81.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.27
Promoting Interoperability86
Improvement Activities40
Cost72.91

Reported Quality Measures

Controlling High Blood Pressure
67%1,192 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
7%1,210 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%4,225 patients4/55-star benchmark: 100%
e-Prescribing
89%9,107 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%2,562 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%2,159 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
78%3,475 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
96%24 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 762 patients
Patients totalRate: 8% · 762 patients
8%762 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers17 claims17 services$171.75 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers71 claims249 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers35 claims55 services$1.04 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers29 claims29 services$314.42 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers162 claims162 services$185.15 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers13 claims13 services$190.14 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 4

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

DR. RASHID HASAN KHAN MD
Internal Medicine (Gastroenterology)
4002 GARTH RD STE 120
BAYTOWN, TX 77521
Harris County (281) 422-7970
NICOLA ABATE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4002 GARTH RD STE 120
BAYTOWN, TX 77521
Harris County (281) 628-7240
CHANDALIA ABATE PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4002 GARTH RD STE 120
BAYTOWN, TX 77521
Harris County (281) 371-6674
BRENNA KASSIA BROWN FNP
Nurse Practitioner (Family)
4002 GARTH RD STE 120
BAYTOWN, TX 77521
Harris County (281) 628-7240

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 Manisha Chandalia's NPI number?

The NPI number for Manisha Chandalia is 1750347217. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Manisha Chandalia located?

Manisha Chandalia practices at 4002 Garth Rd Ste 120, Baytown, TX 77521. The listed phone number is (281) 628-7240.

What is Manisha Chandalia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Manisha Chandalia enrolled in Medicare?

Yes. Manisha Chandalia 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 Manisha Chandalia 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 3 other insurers list Manisha Chandalia 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 Manisha Chandalia affiliated with any hospitals?

According to CMS data, Manisha Chandalia is affiliated with Memorial Hermann Hospital System, Houston Methodist Hospital, Houston Methodist Baytown Hospital and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Manisha Chandalia was last updated on October 4, 2022. 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.