NPIMap

Individual provider Active NPI

Anna A Manatis, M.D.

  • Internal Medicine Physician
  • North Weymouth, MA
National Provider Identifier
1275584880
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
70388 Issued in MA
Practice address
795 Bridge St
North Weymouth, MA 02191-2139
Phone
(781) 337-4105
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 70388 MA Primary

Addresses

Primary practice location

795 Bridge St
North Weymouth, MA 02191-2139

Mailing address

433 W Main St
Hyannis, MA 02601-3644
Phone (508) 778-4777

Other practice location 1

433 W Main St
Hyannis, MA 02601-3644
Phone (508) 778-4777

Other identifiers 1

IdentifierTypeStateIssuer
3048161MedicaidMA

Other names 1

  • Anna A Manatis-Lornell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050906000073 MA Practitioner - Internal Medicine 9335111749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Medical Associates IncGroup PAC ID 2466356209, 130 clinicians

Practice addresses (Care Compare)

795 Bridge St
North Weymouth, MA 02191-2139
Phone (781) 337-4105

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Medical Associates, Inc. CurrentSince Aug 15, 2018 Accepting new patients
Harbor Medical Associates, Inc. Internal Medicine CurrentSince Aug 15, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medical Affiliates of Cape Cod, Inc. Internal Medicine Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

795 Bridge St
Weymouth, MA 02191
Phone (617) 337-4105

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

Organizations & group practices 4

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 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1275584880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013644",
            "telephone_number": "508-778-4777",
            "fax_number": "508-771-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 BRIDGE ST",
            "city": "NORTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021912139",
            "telephone_number": "781-337-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 W Main St",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026013644",
            "country_code": "US",
            "telephone_number": "508-778-4777",
            "fax_number": "508-771-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANATIS",
        "first_name": "ANNA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "70388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3048161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "MANATIS-LORNELL",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Weymouth, MA

Sources for this page

Verify at the official NPI Registry.