Individual provider Active NPI

Manal Anz, DPM

  • Foot Surgery Podiatrist
  • Shelton, CT
National Provider Identifier
1285946426
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
000882 Issued in CT
Practice address
333 River Rd
Shelton, CT 06484-4422
Phone
(203) 924-5656
NPI assigned
Jul 3, 2010
Last updated
Apr 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000882 CT
Primary Podiatric Medicine Podiatrist 213EP1101X 000882 CT
Foot Surgery Podiatrist 213ES0131X 000882 CT Primary

Addresses

Primary practice location

333 River Rd
Shelton, CT 06484-4422

Mailing address

333 River Rd
Shelton, CT 06484-4422
Phone (203) 924-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121012000105 CT Practitioner - Podiatry 6406005115 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 River Rd
Shelton, CT 06484-4422
Phone (203) 924-5656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue182
Removal of skin lesions1-10
Removal of nail tissue37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
882CTMDAcupuncturist
000882CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Neighborhood Health, Inc. CurrentSince Jan 22, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
Housatonic Valley Podiatric Center LLC Podiatrist CurrentSince Feb 25, 2014 Accepting new patients
Optimus Health Care Inc CurrentSince Jul 18, 2016 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

2979 Main St
Bridgeport, CT 06606
Phone (203) 333-8800

471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864

762 Lindley St
Bridgeport, CT 06606
Phone (203) 576-5131

982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260

333 River Rd
Shelton, CT 06484
Phone (203) 450-0144

805 Atlantic St
Stamford, CT 06902
Phone (203) 327-5111

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8513/brand/1/csg/1/fhir/r4
  • Direct secure messaging: manal.anz@xdr.hhchealthdirect.org

Organizations & group practices 5

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 3

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": "1278115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1285946426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RIVER RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844422",
            "telephone_number": "203-924-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RIVER RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844422",
            "telephone_number": "203-924-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZ",
        "first_name": "MANAL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-03",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000882",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CT",
            "license": "000882",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "000882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.