Active NPI
Caitlyn McManus, DPM
- Podiatrist
- Portland, OR
National Provider Identifier
1346820719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 220113
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
6108 NE Glisan St
Portland, OR 97213-3864
Phone (503) 255-8100
Hospital & facility affiliations
- Adventist Health Portland
- Providence Milwaukie Hospital
- Legacy Mount Hood Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 54 |
| Removal of skin lesions | 20 |
| Removal of nail tissue | 234 |
| Removal or shaving of skin growth | 178 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220113 | OR | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Driscoll DPM, LLC | Podiatrist | Current | Accepting new patients |
| Thomas R. Palmer DPM LLC | Past | Accepting new patients |
Locations
6108 NE Glisan St
Portland, OR 97213
Phone (503) 255-8100
Interoperability endpoints
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Portland, OR
- NPI 1326625856
-
- Foot & Ankle Surgery Podiatrist
- Portland, OR
- NPI 1316153018
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
-
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.