Individual provider Active NPI

Luis Rene Manriquez, MD

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1174969729
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60676514 Issued in WA
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.

View all 33

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Spokane 222 clinicians
Providence Health and Services - Wa 12 clinicians

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 Hospital, Colville, WA, CCN 501326
  • Providence St Joseph Hospital Hospital, Chewelah, WA, CCN 501309

Merit-based Incentive Payment System (MIPS)

Final score
96.29 of 100Reported as group
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
60676514WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Sep 1, 2021 Accepting new patients
Providence Health & Services - Wa CurrentSince Sep 28, 2021 Accepting new patients
Community Health Association of Spokane CurrentSince Sep 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 12, 2017 Accepting new patients
Providence Health & Services - Washington CurrentSince Sep 28, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 12, 2017 Accepting new patients
Bavihealth Family Medicine CurrentSince Aug 24, 2017 Accepting new patients
Providence Health & Services - Wa CurrentSince Sep 28, 2021 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Providence Health & Services - Washington CurrentSince Sep 28, 2021 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

  • Direct secure messaging: luis.manriquez.1@11411.direct.athenahealth.com
  • Direct secure messaging: lmanriquez637067@wm.providencedirect.org
  • FHIR API: https://api.platform.athenahealth.com/24571/brand/1/csg/1/fhir/r4

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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

Verify at the official NPI Registry.