DR. ANDRE MANOV (MD) – Internal Medicine Physician, NPI 1801829676
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
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Provider Addresses for DR. ANDRE MANOV (MD)
1000, West Cannon Street, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761043029
Phone: (817) 725-7900
Type: Mailing
301, West Rosedale Street, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 76104
Phone: (817) 259-4333
Fax: (817) 820-0303
Type: Location
3150 N TENAYA WAY STE 300
LAS VEGAS, NV 891280447
Phone: (702) 962-9550
Type: Mailing
PO BOX 100744
ATLANTA, GA 303840447
Phone:
Type: Mailing
2880 N TENAYA WAY STE 400
LAS VEGAS, NV 891280642
Phone: (702) 962-9550
Fax: (702) 962-5536
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $712.
Total Amount is formed as General ($712) + Research ($0) + Ownership ($0) = $712.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: PFIZER INC. ($108).
Total Amount
$712
General + Research + Ownership
Payments
30
Total payment records
General Amount
$712
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-04-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040713001619 | I | Endocrinology | TX | TBD |
| I20200423002935 | I | Internal Medicine | NV | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 45 | $0 |
| 83036 | Hemoglobin a1c level | 37 | 34 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | 29 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | NV | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Physical Medicine And Rehabilitation | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | GA | |
| Colorectal Surgery (Proctology) | NV |
Reviews
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