NPIMap

Individual provider Active NPI

Ramiro J Manzano, DPM

  • Podiatrist
  • Danvers, MA
National Provider Identifier
1124033907
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2029 Issued in MA
Practice address
140 Commonwealth Ave Ste 107
Danvers, MA 01923-3625
Phone
(978) 777-7707
Fax
(978) 777-3402
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2029 MA Primary

Addresses

Primary practice location

140 Commonwealth Ave Ste 107
Danvers, MA 01923-3625

Mailing address

140 Commonwealth Ave Ste 107
Danvers, MA 01923-3625
Phone (978) 777-7707

Other identifiers 3

IdentifierTypeStateIssuer
0307343MedicaidMA
762352OtherTUFTS
27-40037OtherUNITED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060404000583 MA Practitioner - Podiatry 2567366081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Commonwealth Ave
Suite 107
Danvers, MA 01923-3625
Phone (978) 777-7707

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Encompass Health Rehabilitation Hosp of New Englan Inpatient rehabilitation facility, Woburn, MA, CCN 223026

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions96
Removal of nail tissue2449
Removal or shaving of skin growth2464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
268NHMDRegistered Dietitian
2029MAMDPodiatrist
0268NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Clinic of Danvers, LLC Podiatrist CurrentSince Feb 1, 2013 Accepting new patients
Matthew P. Butler, D.P.M. LLC Past Accepting new patients
Northern Podiatry Associates Podiatrist PastSince Aug 15, 2011 Accepting new patients

Locations

140 Commonwealth Ave
Ste 205
Danvers, MA 01923
Phone (978) 777-5188

140 Commonwealth Ave
Ste 107
Danvers, MA 01923
Phone (978) 777-7707

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1124033907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE STE 107",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233625",
            "telephone_number": "978-777-7707",
            "fax_number": "978-777-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE STE 107",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233625",
            "telephone_number": "978-777-7707",
            "fax_number": "978-777-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "RAMIRO",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307343",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "762352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "27-40037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.