Individual provider Active NPI

Rosabel C. Manalo, M.D.

  • Family Medicine Physician
  • Paducah, KY
National Provider Identifier
1194762229
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55086 Issued in KY
Practice address
100 Clint Hill Blvd Ste 100
Paducah, KY 42001-6771
Phone
(270) 441-4357
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55086 KY Primary

Addresses

Primary practice location

100 Clint Hill Blvd Ste 100
Paducah, KY 42001-6771

Mailing address

100 Clint Hill Blvd Ste 100
Paducah, KY 42001-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210126003198 KY Practitioner - Family Practice 2365493723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Ky Urgent Care LLCGroup PAC ID 2860832763, 9 clinicians

Practice addresses (Care Compare)

100 Clint Hill Blvd
Suite 100
Paducah, KY 42001-6771
Phone (270) 441-4357

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky LLC Family Medicine CurrentSince Jan 15, 2021 Accepting new patients
Mercy Health Ky Urgent Care LLC CurrentSince Jun 9, 2025 Accepting new patients
Wellspring Family Medical Center Past Accepting new patients

Locations

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

100 Clint Hill Blvd
Ste 100
Paducah, KY 42001
Phone (270) 441-4357

100 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461

225 Medical Center Dr
Ste 304
Paducah, KY 42003
Phone (270) 441-4301

225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4750

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

Interoperability endpoints

  • Direct secure messaging: rmanalo836206@direct.bsmhealth.org

Organizations & group practices 3

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 2

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1194762229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLINT HILL BLVD STE 100",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLINT HILL BLVD STE 100",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016771",
            "telephone_number": "270-441-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "ROSABEL",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "55086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.