Individual provider Active NPI

Elena Sophia Manning, DPM

  • Foot & Ankle Surgery Podiatrist
  • Raynham, MA
National Provider Identifier
1356796544
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2485 Issued in MA
Practice address
675 Paramount Dr Ste 205
Raynham, MA 02767-5416
Phone
(508) 828-5848
Fax
(508) 828-5846
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X
Foot & Ankle Surgery Podiatrist 213ES0103X 2485 MA Primary

Addresses

Primary practice location

675 Paramount Dr Ste 205
Raynham, MA 02767-5416

Mailing address

15 Roche Bros Way
North Easton, MA 02356-1000

Other practice location 1

225 Water St Ste C105
Plymouth, MA 02360-4062
Phone (508) 746-5220

Other practice location 2

312 Bedford St
Whitman, MA 02382-1859
Phone (781) 344-3535

Other practice location 3

15 Roche Bros Way
North Easton, MA 02356-1000
Phone (781) 344-3535

Other practice location 4

330 Mount Auburn St
South 2-Department of Surgery
Cambridge, MA 02138-5502
Phone (617) 492-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190612000270 MA Practitioner - Podiatry 0648503318 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr IncGroup PAC ID 4486567104, shared by 12 NPIs, 1,693 clinicians
Associated Physicians of Harvard Medical Faculty Physicians at Beth IsGroup PAC ID 6305749987, shared by 7 NPIs, 566 clinicians

Practice addresses (Care Compare)

1 Deaconess Rd
Boston, MA 02215-5321
Phone (781) 983-9088

100 Walter J Hannon Pkwy
Quincy, MA 02169-1105
Phone (781) 983-9088

101 Page St
New Bedford, MA 02740-3464
Phone (781) 983-9088

114 N Beacon St
Suite 116
Brighton, MA 02135-2011
Phone (781) 983-9088

116 N Beacon St
Brighton, MA 02135-2011
Phone (617) 783-5200

330 Brookline Ave
Boston, MA 02215-5400

40 Allied Dr
Dedham, MA 02026-6146
Phone (781) 983-9088

Hospital & facility affiliations

  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • New England Baptist Hospital Hospital, Boston, MA, CCN 220088
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue93
Removal of skin lesions1-10
Removal of nail tissue104
Removal or shaving of skin growth53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2485MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Feb 1, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Feb 1, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2021 Accepting new patients
Orthopedic Care Physician Network LLC CurrentSince Jun 1, 2019 Accepting new patients
President and Fellows of Harvard College CurrentSince Feb 14, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2021 Accepting new patients
President & Fellows of Harvard College Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 1, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Oct 7, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Oct 7, 2024 Accepting new patients
Orthopedic Care Physician Network, LLC CurrentSince Jun 1, 2019 Accepting new patients
Mount Auburn Professional Services Inc Past Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

330 Mount Auburn St
#2
Cambridge, MA 02138
Phone (617) 499-5026

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

40 Allied Dr
Ste 104
Dedham, MA 02026
Phone (617) 667-0227

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

145 Rosemary St
Ste B
Needham Heights, MA 02494
Phone (781) 433-2110

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

15 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (401) 490-1939

225 Water St
Ste C105
Plymouth, MA 02360
Phone (508) 746-5220

100 Walter J Hannon Pkwy
Quincy, MA 02169
Phone (617) 615-4000

675 Paramount Dr
Raynham, MA 02767
Phone (508) 828-5848

675 Paramount Dr
Ste 205
Raynham, MA 02767
Phone (508) 822-2874

312 Bedford St
Whitman, MA 02382
Phone (781) 447-8700

Interoperability endpoints

  • Direct secure messaging: emanning253882@direct.bilh.masshiway.net

Organizations & group practices 14

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.

View all 14

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1356796544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PARAMOUNT DR STE 205",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675416",
            "telephone_number": "508-828-5848",
            "fax_number": "508-828-5846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Water St Ste C105",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604062",
            "country_code": "US",
            "telephone_number": "508-746-5220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Bedford St",
            "address_purpose": "LOCATION",
            "city": "Whitman",
            "state": "MA",
            "postal_code": "023821859",
            "country_code": "US",
            "telephone_number": "781-344-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Roche Bros Way",
            "address_purpose": "LOCATION",
            "city": "North Easton",
            "state": "MA",
            "postal_code": "023561000",
            "country_code": "US",
            "telephone_number": "781-344-3535",
            "fax_number": "508-535-0192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Mount Auburn St",
            "address_2": "South 2-Department of Surgery",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021385502",
            "country_code": "US",
            "telephone_number": "617-492-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNING",
        "first_name": "ELENA",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raynham, MA

Sources for this page

Verify at the official NPI Registry.