Individual provider Active NPI

Marian Flores Manankil, MD

  • Cardiovascular Disease Physician
  • Gadsden, AL
National Provider Identifier
1124276951
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD.31385 Issued in AL
Practice address
510 S 4TH St
Gadsden, AL 35901-5217
Phone
(256) 438-5008
Fax
(256) 467-4009
NPI assigned
Sep 4, 2008
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD.31385 AL Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD31385 AL

Addresses

Primary practice location

510 S 4TH St
Gadsden, AL 35901-5217

Mailing address

510 S 4TH St
Gadsden, AL 35901-5217
Phone (256) 438-5008

Other practice location 1

303 Bay St Ste 403
Gadsden, AL 35901-5203
Phone (256) 438-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20121005000208 AL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446409569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Clinic LLCGroup PAC ID 5597038729, 2 clinicians

Practice addresses (Care Compare)

1642 -A Pehlam Rd S
Jacksonville, AL 36265-3312
Phone (256) 543-1222

510 S 4TH St
Gadsden, AL 35901-5217
Phone (256) 438-5008

600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 467-4731

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31385ALMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Clinic LLC Cardiovascular Disease CurrentSince Jul 3, 2017 Accepting new patients
Prime Healthcare Services-Gadsden Physician Management LLC CurrentSince Apr 1, 2015 Accepting new patients

Locations

303 Bay St
Ste 403
Gadsden, AL 35901
Phone (256) 438-5008

304 S 4th St
Gadsden, AL 35901
Phone (256) 543-1066

510 S 4th St
Gadsden, AL 35901
Phone (256) 438-5008

512 S 4th St
Gadsden, AL 35901
Phone (256) 485-0920

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marian.manankil@phsi.eclinicaldirectplus.com

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 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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1124276951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015217",
            "telephone_number": "256-438-5008",
            "fax_number": "256-467-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015217",
            "telephone_number": "256-438-5008",
            "fax_number": "256-467-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Bay St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359015203",
            "country_code": "US",
            "telephone_number": "256-438-5008",
            "fax_number": "256-438-4009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANANKIL",
        "first_name": "MARIAN",
        "middle_name": "FLORES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "MD.31385",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AL",
            "license": "MD31385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.