Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Manith Bondugula

Individual provider Internal Medicine Physician · NPI 1588168157

Dr. Manith Bondugula is an Internal Medicine in Fort Worth, Texas. Qualified in 2017, 9 years ago. Practices with Ppg Health PA, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1001 12th Ave Ste 102
Fort Worth, TX 76104-3926
Phone: (817) 725-7880
Fax: (817) 447-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 265 Se John Jones Dr Ste 102, Burleson, TX 76028-8356 — (682) 990-0747

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence T4126 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 47326 (TX)

Record details

NPI number1588168157
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address1000 Cannon St., Fort Worth, TX 76104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ppg Health Pa — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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