Individual provider Active NPI

Antonio G Manocchio Jr., D.O.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Dayton, OH
National Provider Identifier
1376810044
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
012224 Issued in OH
Practice address
405 W Grand Ave
Dayton, OH 45405-4720
Phone
(937) 723-3200
NPI assigned
Nov 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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 58.004215 OH
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 012224 OH Primary

Addresses

Primary practice location

405 W Grand Ave
Dayton, OH 45405-4720

Mailing address

7277 Smiths Mill Rd
Ste 200
New Albany, OH 43054-8195
Phone (614) 304-2122

Other practice location 1

165 S Edwin C Moses Blvd
Dayton, OH 45402-8472
Phone (937) 558-0200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amanocchio460897@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160624001610 OH Practitioner - Orthopedic Surgery 8325287063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates of SW Ohio IncGroup PAC ID 9638258874, 59 clinicians

Practice addresses (Care Compare)

4160 Little York Rd
Suite 10
Dayton, OH 45414-5803
Phone (937) 415-9100

Hospital & facility affiliations

  • Buckeye Home Health Care, LLC Home health agency, Dayton, OH, CCN 368197
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Wilson Memorial Hospital Hospital, Sidney, OH, CCN 360013
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

Merit-based Incentive Payment System (MIPS)

Final score
83.43 of 100Reported as group
Quality
70.97
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement35
Knee replacement56
Lower limb (leg) arthroscopy (minimally invasive joint repair)14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
012224OHMDAdult Reconstructive Orthopaedic Surgery Physician
58.004215OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of S W Ohio Inc, Adult Reconstructive Orthopaedic Surgery CurrentSince Jul 5, 2017 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Aug 1, 2017 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Aug 1, 2017 Accepting new patients
Orthopedic Associates of SW Ohio, Inc Adult Reconstructive Orthopaedic Surgery CurrentSince Jul 5, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

7677 Yankee St
Ste 110
Dayton, OH 45459
Phone (937) 401-6400

4160 Little York Rd
Ste 10
Dayton, OH 45414
Phone 9374159100335

450 Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8376

1002 Rainbow Ct
Fairborn, OH 45324

300 3rd Ave
Sidney, OH 45365
Phone (937) 710-4786

Interoperability endpoints

  • Direct secure messaging: antonio.manocchio@oaswo.eclinicaldirectplus.com
  • Direct secure messaging: amanocchio1550201@direct.osumc.edu

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 6

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": "1322092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1376810044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7277 SMITHS MILL RD",
            "address_2": "STE 200",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548195",
            "telephone_number": "614-304-2122",
            "fax_number": "614-221-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054720",
            "telephone_number": "937-723-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 S Edwin C Moses Blvd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454028472",
            "country_code": "US",
            "telephone_number": "937-558-0200",
            "fax_number": "937-558-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOCCHIO",
        "first_name": "ANTONIO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-24",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "58.004215",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OH",
            "license": "012224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanocchio460897@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "165 S Edwin C Moses Blvd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454028472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "165 S Edwin C Moses Blvd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454028472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.