Individual provider Active NPI

Ethan Richard Manos, PA-C

  • Physician Assistant
  • Woonsocket, RI
National Provider Identifier
1366078206
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7744 Issued in MA
Practice address
115 Cass Ave
Woonsocket, RI 02895-4705
Phone
(401) 769-4100
NPI assigned
Mar 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA7744 MA Primary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

115 Cass Ave
Woonsocket, RI 02895-4705

Mailing address

4 Woodview Way Unit A23
Hopkinton, MA 01748-2860
Phone (857) 772-9380

Other practice location 1

1 Lumber St Ste 101
Hopkinton, MA 01748-2364
Phone (508) 435-5936

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201203002026 MA Practitioner - Physician Assistant 3577985738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

1 Lumber St
Hopkinton, MA 01748-2363
Phone (508) 435-5936

1 Lumber St
Suite 101
Hopkinton, MA 01748-2364
Phone (508) 625-3535

100 Medway Rd
Milford, MA 01757-2923

129 S Main St
Milford, MA 01757-3290
Phone (774) 462-3339

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.61 of 100Reported as group
Quality
85.22
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. Single Specialty CurrentSince Jul 7, 2025 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Jul 7, 2025 Accepting new patients
Umass Memorial Medical Group Inc Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

1 Lumber St
Ste 101
Hopkinton, MA 01748
Phone (508) 625-3535

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: manos.ethan.mrmc@direct.partners.masshiway.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1366078206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WOODVIEW WAY UNIT A23",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482860",
            "telephone_number": "857-772-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954705",
            "telephone_number": "401-769-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Lumber St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hopkinton",
            "state": "MA",
            "postal_code": "017482364",
            "country_code": "US",
            "telephone_number": "508-435-5936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOS",
        "first_name": "ETHAN",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7744",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.