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Individual provider Active NPI

Ferdinand J Manahan, MD

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1104805126
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD043284E Issued in PA
Practice address
239 Penn Avenue Forum Plaza
Scranton, PA 18503
Phone
(570) 346-6170
Fax
(570) 346-2575
NPI assigned
Jan 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD043284E PA Primary
Nephrology Physician 207RN0300X MD043284E PA

Addresses

Primary practice location

239 Penn Avenue Forum Plaza
Scranton, PA 18503

Mailing address

239 Penn Avenue Forum Plaza
Scranton, PA 18503
Phone (570) 346-6170

Other identifiers 5

IdentifierTypeStateIssuer
0669043OtherPAMEDICAL ASSISTANCE
1165195MedicaidPA
505518OtherAETNA
38078OtherPAGEISINGER HEALTH PLAN
440302OtherPAFIRST PRIORITY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000409 PA Practitioner - Internal MedicinePractitioner - Nephrology 5991820540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

239 Penn Ave
Scranton, PA 18503-1921
Phone (570) 346-6170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.34 of 100Reported as individual
Quality
54.77
Improvement activities
40
Cost
72.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar Y Piczon & Ferdinand J Mahahan Internal Medicine CurrentSince May 24, 2010 Accepting new patients
Ferdinand J Manahan MD LLC Internal Medicine CurrentSince May 24, 2010 Accepting new patients

Locations

239 Penn Ave
Scranton, PA 18503
Phone (570) 346-6170

Organizations & group practices 2

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 40

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

View all 40

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": "1783900800000",
    "number": "1104805126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PENN AVENUE FORUM PLAZA",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18503",
            "telephone_number": "570-346-6170",
            "fax_number": "570-346-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PENN AVENUE FORUM PLAZA",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18503",
            "telephone_number": "570-346-6170",
            "fax_number": "570-346-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAHAN",
        "first_name": "FERDINAND",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD043284E",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD043284E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0669043",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1165195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "505518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "38078",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "440302",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.