Individual provider Active NPI

John Manning, MD

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1265436893
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L1932 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X L1932 TX
Diagnostic Radiology Physician 2085R0202X L1932 TX Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other identifiers 1

IdentifierTypeStateIssuer
143592702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090617000664 TX Practitioner - Diagnostic Radiology 6103913629 Reassigns benefits to 2 organizations
I20250724003781 UT Practitioner - Diagnostic Radiology 6103913629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Ara/St. David's Imaging, LPGroup PAC ID 8426001496, 11 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

1201 W Louis Henna Blvd
St David's Surgical Hospital
Austin, TX 78681-2301
Phone (512) 248-7000

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (713) 461-3573

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

130 Hays St
Luling, TX 78648-3207
Phone (713) 461-3573

2120 N Mays St
Suite 220
Round Rock, TX 78664-2108
Phone (713) 461-3573

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (713) 461-3573

275 S 200
Salt Lake City, UT 84111-3181
Phone (281) 742-0469

275 S 200
Unit 2602
Salt Lake City, UT 84111-3209
Phone (512) 795-5100

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

7900 FM
Suite 1826
Austin, TX 78737-1407
Phone (713) 461-3573

901 W 38TH St
Suite 100
Austin, TX 78705-1164
Phone (512) 795-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1932TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Mar 11, 2008 Accepting new patients
Austin Radiological Association CurrentSince Apr 1, 2001 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince May 21, 2007 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Sep 27, 2010 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Sep 16, 2016 Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients

Locations

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195

1348 N State Highway 123
Ste B
San Marcos, TX 78666
Phone (512) 392-1831

5656 Bee Caves Rd
Ste H200
West Lake Hills, TX 78746
Phone (512) 451-7407

Organizations & group practices 7

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 6

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1265436893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "L1932",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L1932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143592702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.