| Dr Manntej S Sra, MD | |
|
13943 N 91st Ave, Building A, Suite 102, Peoria, AZ 85381-3629 | |
| (602) 705-1353 | |
| (623) 815-8299 |
| Full Name | Dr Manntej S Sra |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 13943 N 91st Ave, Peoria, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053320770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 28033 (Arizona) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | G85275 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayers Memorial Hospital | Fall river mills, CA | Hospital |
| Odessa Regional Medical Center | Odessa, TX | Hospital |
| Mitchell County Hospital District | Colorado city, TX | Hospital |
| Entity Name | Sun Radiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124143011 PECOS PAC ID: 8426032145 Enrollment ID: O20040617001475 |
| Entity Name | Advanced Radiology and Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669123626 PECOS PAC ID: 2163816448 Enrollment ID: O20220808003437 |
| Entity Name | Radiologica Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073000105 PECOS PAC ID: 8820337769 Enrollment ID: O20220815001238 |
| Entity Name | Vesta Telemedicine Solutions PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710571153 PECOS PAC ID: 2365850948 Enrollment ID: O20240118001359 |
| Entity Name | Vesta Telemedicine Solutions PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952902116 PECOS PAC ID: 9638585706 Enrollment ID: O20240205002517 |
| Entity Name | North Star CN LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20251124001764 |
| Entity Name | North Star Diagnostic Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20251124002884 |
| Entity Name | North Star FM LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20251124002952 |
| Entity Name | North Star Mri of Frisco LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20251125002873 |
| Entity Name | North Star Mri LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20260331003754 |
| Entity Name | North Star Mcd LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700550282 PECOS PAC ID: 2668659434 Enrollment ID: O20260603003332 |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20260612004043 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manntej S Sra, MD 13943 N 91st Ave, Building A, Suite 102, Peoria, AZ 85381-3629 Ph: (602) 705-1353 | Dr Manntej S Sra, MD 13943 N 91st Ave, Building A, Suite 102, Peoria, AZ 85381-3629 Ph: (602) 705-1353 |
Terry T Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave, Suite 127, Peoria, AZ 85381 Phone: 623-773-2873 Fax: 623-414-4922 |
Dr. Brian A Holtan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 31003 N 118th Ln, Peoria, AZ 85383 Phone: 623-242-6958 |
John Craig Farnham, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 13943 N 91st Ave Ste A102, Peoria, AZ 85381 Phone: 623-344-5450 |
Dr. Janet Rose Martin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 24654 N Lake Pleasant Pkwy Ste 103-225, Peoria, AZ 85383 Phone: 866-614-8555 |