Individual provider Active NPI

Pierre R Manzo, MD

  • Family Medicine Physician
  • East Greenwich, RI
National Provider Identifier
1033199468
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD08822 Issued in RI
Practice address
1351 S County TRL
Suite 301
East Greenwich, RI 02818-5079
Phone
(401) 398-0860
Fax
(401) 398-0861
NPI assigned
Jan 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD08822 RI Primary

Addresses

Primary practice location

1351 S County TRL
Suite 301
East Greenwich, RI 02818-5079

Mailing address

1351 S County TRL
Suite 301
East Greenwich, RI 02818-5079
Phone (401) 398-0860

Other identifiers 1

IdentifierTypeStateIssuer
7004806MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040614001210 RI Practitioner - Family Practice 6608850136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Family Medicine IncGroup PAC ID 5991737041, 7 clinicians

Practice addresses (Care Compare)

1351 S County TRL
Suite 301
East Greenwich, RI 02818-5083
Phone (401) 398-0860

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Medicine Inc Family Medicine CurrentSince Oct 1, 2005 Accepting new patients

Locations

1351 S County Trl
Ste 301
East Greenwich, RI 02818
Phone (401) 398-0860

Interoperability endpoints

  • Direct secure messaging: pmanzo@direct.carene.org

Organizations & group practices 1

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

Hospital & facility affiliations 5

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033199468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185079",
            "telephone_number": "401-398-0860",
            "fax_number": "401-398-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185079",
            "telephone_number": "401-398-0860",
            "fax_number": "401-398-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "PIERRE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD08822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004806",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.