Individual provider Active NPI

Artemio M Manansala, MD

  • Diagnostic Radiology Physician
  • Pawtucket, RI
National Provider Identifier
1285730804
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11622 Issued in RI
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

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AM68894OtherRIMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanansala@hvi.medinformatixdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NY2 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
I20071002000312 RI Practitioner - Diagnostic Radiology 8628163920 Reassigns benefits to 6 organizations
I20170518001984 NY Practitioner - Diagnostic Radiology 8628163920 Reassigns benefits to 6 organizations

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
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

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 Hospital, Middletown, NY, CCN 330126
  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386
  • St John'S Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395
  • Bronxcare Hospital Center Hospital, Bronx, NY, CCN 330009
  • St Barnabas Hospital Hospital, Bronx, NY, CCN 330399

Merit-based Incentive Payment System (MIPS)

Final score
77.74 of 100Reported as group
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

LicenseStateTypeSpecialty
287442NYMDLicensed Practical Nurse
11622RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologic Associates Prof Corp Diagnostic Radiology CurrentSince Apr 27, 2017 Accepting new patients
Ulster Radiologic Associates, PC CurrentSince May 2, 2017 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Nov 21, 2024 Accepting new patients
Complete Express Medical PC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
St. Josephs Imaging Associates PLLC Diagnostic Radiology CurrentSince Jan 20, 2019 Accepting new patients
West Hudson Imaging Associates, PLLC Diagnostic Radiology CurrentSince May 3, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 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.

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": "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

Verify at the official NPI Registry.