Individual provider Active NPI

Christopher Edward Manfredi, DO

  • Pulmonary Disease Physician
  • Norwalk, CT
National Provider Identifier
1104910215
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
000524 Issued in CT
Practice address
30 Stevens Street
Suite C
Norwalk, CT 06850
Phone
(203) 855-3888
Fax
(203) 855-3966
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 000524 CT Primary

Addresses

Primary practice location

30 Stevens Street
Suite C
Norwalk, CT 06850

Mailing address

30 Stevens Street
Suite C
Norwalk, CT 06850
Phone (203) 855-3888

Other identifiers 1

IdentifierTypeStateIssuer
001005249MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040713000815 CT Practitioner - Pulmonary DiseasePractitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 6709864960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of New England, College of Osteo Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

34 Maple St
Norwalk, CT 06850-3815
Phone (203) 762-5588

40 Cross St
Norwalk, CT 06851-4647
Phone (203) 546-3377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000524CTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Pulmonary Disease CurrentSince Dec 27, 2014 Accepting new patients
Norwalk Pulmonary Consultants,PC Pulmonary Disease Past Accepting new patients
Fairfield County Medical Services Inc Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

38 East Ave
New Canaan, CT 06840
Phone (203) 594-9520

40 Cross St
Norwalk, CT 06851
Phone (203) 845-2020

30 Stevens St
Ste C
Norwalk, CT 06850
Phone (203) 852-2663

520 West Ave
Norwalk, CT 06850
Phone (203) 852-2417

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/U6RZJm5ZXggU0nM508ECB72LT9L_i0-0/

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1104910215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STEVENS STREET",
            "address_2": "SUITE C",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06850",
            "telephone_number": "203-855-3888",
            "fax_number": "203-855-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STEVENS STREET",
            "address_2": "SUITE C",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06850",
            "telephone_number": "203-855-3888",
            "fax_number": "203-855-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDI",
        "first_name": "CHRISTOPHER",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "000524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001005249",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.