Individual provider Active NPI

Isabel Manzanillo-Devore

  • Gastroenterology Physician
  • Columbus, OH
National Provider Identifier
1154664167
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34.014032 Issued in OH
Practice address
5131 Beacon Hill Rd Ste 200
Columbus, OH 43228-4442
Phone
(614) 544-1891
Fax
(614) 544-1890
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34.014032 OH Primary

Addresses

Primary practice location

5131 Beacon Hill Rd Ste 200
Columbus, OH 43228-4442

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141
Phone (614) 544-6155

Other names 1

  • Isabel Manzanillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190816002966 OH Practitioner - Gastroenterology 5597057695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 E Main St
Suite 2D
Lancaster, OH 43130-3497
Phone (740) 687-9182

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.014032OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Aug 1, 2019 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Feb 13, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2019 Accepting new patients
Fairfield Healthcare Professionals Inc CurrentSince Feb 13, 2022 Accepting new patients
Ohiohealth Corporation Gastroenterology Current Accepting new patients

Locations

5131 Beacon Hill Rd
Ste 200
Columbus, OH 43228
Phone (614) 544-1891

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

1231 E Main St
Lancaster, OH 43130
Phone (740) 687-4410

1500 E Main St
Ste 2D
Lancaster, OH 43130
Phone (740) 653-3527

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

Interoperability endpoints

  • Direct secure messaging: imanzanillo433845@direct.hfhs.org

Organizations & group practices 5

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 4

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1154664167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141",
            "telephone_number": "614-544-6155",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 BEACON HILL RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432284442",
            "telephone_number": "614-544-1891",
            "fax_number": "614-544-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANILLO-DEVORE",
        "first_name": "ISABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "34.014032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABEL",
            "last_name": "MANZANILLO",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.