Active NPI
Mary E. Manning, M.D., M.P.H.
- Internal Medicine Physician
- Needham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 72681
- Practice address
- 272 Chestnut St
Needham, MA 02492-2410 - Phone
- (781) 455-6200
- Fax
- (781) 449-1096
- NPI assigned
- Jul 3, 2006
- Last updated
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 72681 | MA | Primary |
Addresses
Primary practice location
272 Chestnut St
Needham, MA 02492-2410
Mailing address
272 Chestnut St
Needham, MA 02492-2410
Phone (781) 455-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3124061 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
310 Chestnut St
Needham, MA 02492-2411
Phone (617) 754-0600
392 Chestnut St
Needham, MA 02492-2411
Phone (617) 754-0650
817 Highland Ave
Needham, MA 02494-1312
Phone (781) 449-5170
93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care of Boston Management Corporation | Internal Medicine | Current | Accepting new patients |
Locations
272 Chestnut St
Needham, MA 02492
Phone (781) 433-0214
310 Chestnut St
Needham, MA 02492
Phone (617) 754-0600
93 Pond St
Sharon, MA 02067
Phone (781) 784-9212
Interoperability endpoints
- blaliberte252604@direct.bilh.masshiway.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Beth Israel Deaconess Hospital - Needham, Inc. | Hospital | Corporate Director | Oct 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Needham, MA
- NPI 1205893450
Corporate Director
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- Home Health Agency
- Milford, MA
- NPI 1568828796
-
- Home Health Agency
- Worcester, MA
- NPI 1922002286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1225067838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 CHESTNUT ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922410",
"telephone_number": "781-455-6200",
"fax_number": "781-449-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 CHESTNUT ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922410",
"telephone_number": "781-455-6200",
"fax_number": "781-449-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "MARY",
"middle_name": "E.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "72681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3124061",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.