Individual provider Active NPI

Cameron Manchester, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1003268194
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T8270 Issued in TX
Practice address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone
(806) 341-0428
NPI assigned
Jul 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X T8270 TX Primary

Addresses

Primary practice location

1 Brookdale PLZ
Brooklyn, NY 11212-3139

Mailing address

1901 Medi Park Dr Ste 2050
Amarillo, TX 79106-2109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804001091 TX Practitioner - Diagnostic Radiology 4688096282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Radiological Association LLPGroup PAC ID 9739172479, 36 clinicians
Open Air Imaging Center LLPGroup PAC ID 9739258310, 25 clinicians

Practice addresses (Care Compare)

1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2109
Phone (806) 355-3352

7400 Wallace Blvd
Amarillo, TX 79106-1818
Phone (806) 353-8333

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Childress Regional Medical Center Hospital, Childress, TX, CCN 450369
  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
  • Cogdell Memorial Hospital Hospital, Snyder, TX, CCN 451384

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
34.83 of 100Reported as individual
Quality
23.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Open Air Imaging Center, LLP CurrentSince Jul 1, 2022 Accepting new patients
High Plains Radiological Association LLP Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1901 Medi Park Dr
Ste 2050
Amarillo, TX 79106
Phone (806) 355-3352

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

7400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-8480

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/glenrmc-3b4584e4
  • Direct secure messaging: cmanchester703984@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/BSA/api/FHIR/R4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/chdress-72d98714

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1003268194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "806-341-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T8270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.