Individual provider Active NPI

Anthony Mancuso II, DO

  • Orthopaedic Surgery Physician
  • Lexington, KY
National Provider Identifier
1255871687
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
TP812 Issued in KY
Practice address
740 S Limestone Ste D135
Lexington, KY 40536-2603
Phone
(859) 323-5533
Fax
(859) 257-3634
NPI assigned
Mar 4, 2017
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X TP812 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

740 S Limestone Ste D135
Lexington, KY 40536-2603

Mailing address

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-6553

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-6553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231120000045 TX Practitioner - Orthopedic Surgery 9537438528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Practice addresses (Care Compare)

1301 S Coulter St
Suite 103
Amarillo, TX 79106-1764
Phone (806) 680-1535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP812KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NWTX Physician Network, PLLC Orthopaedic Surgery CurrentSince Dec 18, 2023 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Dec 18, 2023 Accepting new patients

Locations

1301 S Coulter St
Ste 103
Amarillo, TX 79106
Phone (806) 463-1712

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1255871687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "419-251-6553",
            "fax_number": "419-251-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE D135",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405362603",
            "telephone_number": "859-323-5533",
            "fax_number": "859-257-3634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-6553",
            "fax_number": "419-251-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "ANTHONY",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-04",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "TP812",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.