Individual provider Active NPI

Caitlyn McManus, DPM

  • Podiatrist
  • Portland, OR
National Provider Identifier
1346820719
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
220113 Issued in OR
Practice address
6108 NE Glisan St
Portland, OR 97213-3864
Phone
(503) 255-8100
NPI assigned
Apr 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Podiatrist 213E00000X 220113 OR Primary

Addresses

Primary practice location

6108 NE Glisan St
Portland, OR 97213-3864

Mailing address

10201 66TH Rd
Forest Hills, NY 11375-2029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240604004472 OR Practitioner - Podiatry 4880136902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin Driscoll DPM LLCGroup PAC ID 7719386226, 3 clinicians

Practice addresses (Care Compare)

6108 NE Glisan St
Portland, OR 97213-3864
Phone (503) 255-8100

Hospital & facility affiliations

  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue54
Removal of skin lesions20
Removal of nail tissue234
Removal or shaving of skin growth178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
220113ORMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Driscoll DPM, LLC Podiatrist CurrentSince Jul 15, 2024 Accepting new patients
Thomas R. Palmer DPM LLC PastSince Apr 28, 2024 Accepting new patients

Locations

6108 NE Glisan St
Portland, OR 97213
Phone (503) 255-8100

Interoperability endpoints

  • Direct secure messaging: cmcmanusdpm179467@direct.ohsu.edu

Organizations & group practices 2

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 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": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1346820719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 66TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133864",
            "telephone_number": "503-255-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "CAITLYN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "220113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.