Individual provider Active NPI

Faraz Manazir, M.D.

  • Interventional Cardiology Physician
  • Moline, IL
National Provider Identifier
1104805092
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036088898 Issued in IL
Practice address
1100 36TH Avenue
Moline, IL 61265
Phone
(309) 743-6700
Fax
(309) 764-2042
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 036088898 IL Primary
Cardiovascular Disease Physician 207RC0000X 036088898 IL

Addresses

Primary practice location

1100 36TH Avenue
Moline, IL 61265

Mailing address

1236 E Rusholme St Ste 300
Davenport, IA 52803-2484
Phone (563) 324-2992

Other identifiers 2

IdentifierTypeStateIssuer
6189357MedicaidIA
P00206091OtherMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address faraz.manazirmd.p1@direct.cvmedpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041116000767 IA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6901860246 Reassigns benefits to 3 organizations
I20041206000452 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6901860246 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Center, Aledo 17 clinicians
Cardiovascular Medicine PLLC 50 clinicians
Unity Healthcare 65 clinicians
Trinity Medical Center 97 clinicians
Morrison Community Hospital District 40 clinicians
Genesis Health System 262 clinicians

Practice addresses (Care Compare)

1007 NW 3Rd St
Aledo, IL 61231-1317
Phone (309) 582-3701

1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700

1236 E Rusholme
Suite 300
Davenport, IA 52803-2473

1236 E Rusholme St
Davenport, IA 52803-2473
Phone (563) 324-2992

1518 Mulberry Ave
Muscatine, IA 52761-3433

1608 Cedar St
Muscatine, IA 52761-3466
Phone (563) 324-2992

2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000

303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003

409 NW 9TH Ave
Aledo, IL 61231-1258
Phone (309) 582-3701

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000

500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-5000

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Morrison Community Hospital Hospital, Morrison, IL, CCN 141329
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013

Merit-based Incentive Payment System (MIPS)

Final score
82.95 of 100Reported as group
Quality
70.54
Promoting interoperability
97
Improvement activities
40
Cost
75.13

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Center Cardiovascular Disease CurrentSince Aug 1, 1999 Accepting new patients
Morrison Community Hospital District CurrentSince Aug 18, 2022 Accepting new patients
Genesis Medical Center, Aledo Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
CGH Medical Center CurrentSince May 15, 2018 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Feb 1, 2013 Accepting new patients
Unity Healthcare CurrentSince Oct 13, 2014 Accepting new patients
Cardiovascular Medicine PLLC Cardiovascular Disease CurrentSince Jan 1, 2005 Accepting new patients
Morrison Community Hospital District Current Accepting new patients
CGH Medical Center Current Accepting new patients
Unity Healthcare Current Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
CGH Medical Center CurrentSince May 15, 2018 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Feb 1, 2013 Accepting new patients
Unity Healthcare CurrentSince Oct 13, 2014 Accepting new patients
Trinity Medical Center Current Accepting new patients
Morrison Community Hospital District CurrentSince Aug 18, 2022 Accepting new patients
Morrison Community Hospital District Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2222
Bettendorf, IA 52722
Phone (563) 742-3111

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

3801 Marquette St
#301
Davenport, IA 52806
Phone (563) 445-4120

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

1608 Cedar St
Muscatine, IA 52761
Phone (319) 264-5750

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

350 John Deere Rd
Moline, IL 61265
Phone (309) 743-6700

1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700

352 John Deere Rd
Moline, IL 61265
Phone (309) 779-7500

657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: fmanazir92354@direct.unitypoint.org
  • Direct secure messaging: farazmanazir@mchospital.medalliesdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: fmanazir19965@cghmc.direct-ci.com
  • Direct secure messaging: fmanazir@mchstaff.securechart.com

Organizations & group practices 28

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.

View all 28

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1104805092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032484",
            "telephone_number": "563-324-2992",
            "fax_number": "563-324-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 36TH AVENUE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-743-6700",
            "fax_number": "309-764-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAZIR",
        "first_name": "FARAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036088898",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036088898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6189357",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00206091",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "faraz.manazirmd.p1@direct.cvmedpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1100 36th Avenue",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.