MANOJ JOSEPH – Family Nurse Practitioner, NPI 1083117667

MANOJ JOSEPH is a healthcare provider. based in Missouri city, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP136395 (TX). The NPI Number for MANOJ JOSEPH is 1083117667

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MANOJ JOSEPH
NPI
1083117667
Phone
(281) 650-3292
Address
4122 ROYAL PLANTATION LN
Enumeration Date
9 March 2018
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3464506238
Graduation Year
2018 (8 years ago)
PAC ID
7214292119
Group Practice PAC ID
4880071679
Professional Enrollment ID
I20180524000693
Address ID
TX774784111SU2455X6XXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for MANOJ JOSEPH

  • 4122, Royal Plantation Lane, Missouri City, Fort Bend County, Texas, 77459, United States

    MISSOURI CITY, TX 774592370

    Phone: (281) 650-3292

    Type: Mailing

  • Houston Methodist Sugar Land Hospital, 16655, Southwest Freeway, Sugar Land, Fort Bend County, Texas, 77479, United States

    SUGAR LAND, TX 774792329

    Phone: (281) 274-7630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180524000693INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 77459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880071679View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerNY
Nurse PractitionerMO
Nurse PractitionerNM
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineTX

Reviews

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Frequently asked questions

Can I cross-check MANOJ JOSEPH using NPI 1083117667?
NPI 1083117667 belongs to MANOJ JOSEPH; compare other details if you need extra assurance.
Is there an active status for MANOJ JOSEPH?
For scheduling context, MANOJ JOSEPH is shown as active in the registry.
What expertise is attributed to MANOJ JOSEPH?
MANOJ JOSEPH's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MANOJ JOSEPH?
Travel planning: use Missouri City, Texas as the reference point for MANOJ JOSEPH, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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