Active NPI
Artemio M Manansala, MD
- Diagnostic Radiology Physician
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 11622
- Practice address
- 111 Brewster St
Pawtucket, RI 02860-4400 - Phone
- (401) 729-2617
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 11622 | RI | Primary |
Addresses
Primary practice location
111 Brewster St
Pawtucket, RI 02860-4400
Mailing address
185 Rykowski LN Ste 101
Middletown, NY 10941-4055
Phone (845) 692-0030
Other practice location 1
707 E Main St
Middletown, NY 10940-2650
Phone (845) 343-0616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AM68894 | Other | RI | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanansala@hvi.medinformatixdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
68 Harris Bushville Rd
Harris, NY 12742
Phone (718) 223-4685
87 Bramble Bush Rd
Coventry, RI 02816-4901
Phone (718) 223-4685
Hospital & facility affiliations
- Garnet Health Medical Center
- Garnet Health Medical Center Catskills
- St John'S Episcopal Hospital at South Shore
- Bronxcare Hospital Center
- St Barnabas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.74 of 100
- Quality
- 68.35
- Improvement activities
- 40
- Cost
- 71.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287442 | NY | MD | Licensed Practical Nurse |
| 11622 | RI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologic Associates Prof Corp | Diagnostic Radiology | Current | Accepting new patients |
| Ulster Radiologic Associates, PC | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Complete Express Medical PC | Diagnostic Radiology | Current | Accepting new patients |
| St. Josephs Imaging Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| West Hudson Imaging Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Millennium Medical Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
| Express Mobile Diagnostic Services Inc | Past | Accepting new patients | |
| River Radiology PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 29)
615 N Seward Ave
Auburn, NY 13021
Phone (315) 253-9749
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
2602 Avenue U
Unit 238
Brooklyn, NY 11229
3047 Avenue U
Ste 2
Brooklyn, NY 11229
Phone (347) 702-4066
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800
19 Laurel Ave
Cornwall, NY 12518
Phone (845) 343-6368
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
4117 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-4968
4109 Medical Center Dr
Ste 109
Fayetteville, NY 13066
11203 Queens Blvd
Ste 211
Forest Hills, NY 11375
Phone (646) 660-0690
102 Clowes Ave
Goshen, NY 10924
Phone (845) 333-7200
396 Broadway
Kingston, NY 12401
Phone (845) 331-3131
5100 W Taft Rd
Ste 2A
Liverpool, NY 13088
Phone (315) 452-2555
185 Rykowski Ln
#101
Middletown, NY 10941
Phone 84569200301100
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
38 Concord Rd
Monticello, NY 12701
Phone (845) 333-6500
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 12
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.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1649767013
-
- Radiology Clinic/Center
- Kingston, NY
- NPI 1326083239
-
- Diagnostic Radiology Physician
- Johnstown, PA
- NPI 1730107590
RI
-
- Diagnostic Ultrasound Physician
- Brooklyn, NY
- NPI 1750896221
-
- Diagnostic Radiology Physician
- Saratoga Springs, NY
- NPI 1235114182
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1285730804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 RYKOWSKI LN STE 101",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414055",
"telephone_number": "845-692-0030",
"fax_number": "845-692-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BREWSTER ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-2617"
}
],
"practiceLocations": [
{
"address_1": "707 E Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402650",
"country_code": "US",
"telephone_number": "845-343-0616",
"fax_number": "845-343-0617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANANSALA",
"first_name": "ARTEMIO",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "11622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AM68894",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanansala@hvi.medinformatixdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "185 Rykowski Ln Ste 101",
"city": "Middletown",
"state": "NY",
"country_code": "US",
"postal_code": "109414055",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.