Individual provider Active NPI

Gene W Manzetti, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pittsburgh, PA
National Provider Identifier
1174515811
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD015124E Issued in PA
Practice address
850 Clairton Blvd
Ste 2300
Pittsburgh, PA 15236
Phone
(412) 469-2700
Fax
(412) 466-7010
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD015124E PA Primary

Addresses

Primary practice location

850 Clairton Blvd
Ste 2300
Pittsburgh, PA 15236

Mailing address

850 Clairton Blvd
Ste 2300
Pittsburgh, PA 15236
Phone (412) 469-2700

Other identifiers 1

IdentifierTypeStateIssuer
1008143700001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110524000234 PA Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac SurgeryPractitioner - Critical Care (Intensivists) 7416073259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1174515811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CLAIRTON BLVD",
            "address_2": "STE 2300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15236",
            "telephone_number": "412-469-2700",
            "fax_number": "412-466-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 CLAIRTON BLVD",
            "address_2": "STE 2300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15236",
            "telephone_number": "412-469-2700",
            "fax_number": "412-466-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZETTI",
        "first_name": "GENE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD015124E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008143700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.