Active NPI
Glen Rocky Manzano, M.D.
- Neurological Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME104328
- Practice address
- 7460 Docs Grove Cir
Orlando, FL 32819-8010 - Phone
- (407) 423-7172
- Fax
- (407) 423-9505
- NPI assigned
- Jul 15, 2009
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME104328 | FL | Primary |
Addresses
Primary practice location
7460 Docs Grove Cir
Orlando, FL 32819-8010
Mailing address
7460 Docs Grove Cir
Orlando, FL 32819-8010
Phone (407) 423-7172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 Compare- Specialty
- Neurosurgery
- Education
- University of Miami, LM Miller School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
7460 Docs Grove Cir
Orlando, FL 32819-8010
Phone (407) 903-9360
Hospital & facility affiliations
- Orlando Health
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.93 of 100
- Quality
- 51.86
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 98 |
| Laminectomy or laminotomy (partial removal of spine bones) | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| Spine & Brain Neurosurgery Center | Neurological Surgery | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients | |
| Nizam Razack, PA | Neurological Surgery | Past | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1400 NW 12th Ave
Fl 1
Miami, FL 33136
Phone (305) 689-5511
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
7460 Docs Grove Cir
Orlando, FL 32819
Phone (407) 903-9360
32 W Gore St
Ste 511
Orlando, FL 32806
Phone (407) 423-7172
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- glen.manzano.1@11845.direct.athenahealth.com
- gmanzano31786@direct.med.miami.edu
- https://api.platform.athenahealth.com/11845/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Orlando, FL
- NPI 1245217744
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
- Neurological Surgery Physician
- Orlando, FL
- NPI 1548337934
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1093945867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7460 DOCS GROVE CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198010",
"telephone_number": "407-423-7172",
"fax_number": "407-423-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7460 DOCS GROVE CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198010",
"telephone_number": "407-423-7172",
"fax_number": "407-423-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZANO",
"first_name": "GLEN",
"middle_name": "ROCKY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-15",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME104328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.