Active NPI
Luis Rene Manriquez, MD
- Family Medicine Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 60676514
- Practice address
- 5901 N Lidgerwood St
Spokane, WA 99208-5095 - Phone
- (509) 444-8200
- Fax
- (509) 434-0392
- NPI assigned
- May 21, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 33
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.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
WA
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
WA
-
- Federally Qualified Health Center (FQHC)
- Cheney, WA
- NPI 1013387836
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1295946101
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1003994252
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1184700858
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Colville, WA
- NPI 1003067679
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Association of SpokaneProvidence Health and Services - Wa
Practice addresses (Care Compare)
1001 W 2ND Ave
Spokane, WA 99201-4503
Phone (509) 835-1206
500 E Webster Ave
Chewelah, WA 99109-9523
Phone (509) 935-8211
Hospital & facility affiliations
- Providence Mount Carmel Hospital
- Providence St Joseph Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.29 of 100
- Quality
- 90.36
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170602002333 | WA | Practitioner - Family Practice | 2769623297 | Reassigns benefits to 7 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60676514 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current | Accepting new patients | |
| Providence Health & Services - Wa | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Bavihealth | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Wa | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Community Health Association of Spokane | Family Medicine | Past | Accepting new patients |
Locations
1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002
500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
982 E Columbia Ave
Colville, WA 99114
Phone (509) 684-2561
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393
322 W North River Dr
Spokane, WA 99201
Phone (509) 241-2575
3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900
5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590
412 E Spokane Falls Blvd
Spokane, WA 99202
Phone (509) 358-7500
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
611 N Iron Bridge Way
Spokane, WA 99202
5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990
5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604
1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- luis.manriquez.1@11411.direct.athenahealth.com
- lmanriquez637067@wm.providencedirect.org
- https://api.platform.athenahealth.com/24571/brand/1/csg/1/fhir/r4
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | PG162924 | OR | |
| Family Medicine Physician | 207Q00000X | 60676514 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5901 N Lidgerwood St
Spokane, WA 99208-5095
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2024.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1174969729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 N LIDGERWOOD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992085095",
"telephone_number": "509-444-8200",
"fax_number": "509-434-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRIQUEZ",
"first_name": "LUIS",
"middle_name": "RENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-21",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "PG162924",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "60676514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.