Active NPI
Jeffrey C. Manlove, M.D.
- Otolaryngology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 27919
- Practice address
- 2211 Park Ave
Minneapolis, MN 55404-3711 - Phone
- (612) 871-1144
- Fax
- (612) 871-2012
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 27919 | MN | Primary |
Addresses
Primary practice location
2211 Park Ave
Minneapolis, MN 55404-3711
Mailing address
2211 Park Ave
Minneapolis, MN 55404-3711
Phone (612) 871-1144
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0572003 | Other | MN | PREFERREDONE |
| 31360600 | Other | MN | MEDICAID - WISCONSIN |
| 100654 | Other | MN | UCARE |
| 1014249 | Other | MN | MEDICA CHOICE |
| 20938 | Other | MN | AMERICA'S PPO |
| 060087300 | Medicaid | MN | |
| 1000010 | Other | MN | MEDICA PRIMARY |
| 38T54MA | Other | MN | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.11 of 100
- Quality
- 63.28
- Promoting interoperability
- 91
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients | |
| Northfield Hospital | Past | Accepting new patients |
Locations
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Organizations & group practices 11
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.
-
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- NPI 1295272342
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
-
- General Practice Physician
- St Paul, MN
- NPI 1053617795
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Clinic/Center
- Saint Paul, MN
- NPI 1184670044
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Clinic/Center
- Maplewood, MN
- NPI 1689616716
-
- Obstetrics & Gynecology Physician
- Northfield, MN
- NPI 1154350783
-
- Urgent Care Clinic/Center
- Farmington, MN
- NPI 1336934108
-
- Multi-Specialty Clinic/Center
- Northfield, MN
- NPI 1255367629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1003808049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043711",
"telephone_number": "612-871-1144",
"fax_number": "612-871-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043711",
"telephone_number": "612-871-1144",
"fax_number": "612-871-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLOVE",
"first_name": "JEFFREY",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MN",
"license": "27919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "0572003",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - WISCONSIN",
"identifier": "31360600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "100654",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "1014249",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "20938",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060087300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "1000010",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "38T54MA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.