Active NPI
Antonio G Manocchio Jr., D.O.
- Adult Reconstructive Orthopaedic Surgery Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 012224
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Kettering Health Dayton
- Wilson Memorial Hospital
- Kettering Health Main Campus
- Atrium Medical Center
- Wayne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.43 of 100
- Quality
- 70.97
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 35 |
| Knee replacement | 56 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 012224 | OH | MD | Adult Reconstructive Orthopaedic Surgery Physician |
| 58.004215 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates of S W Ohio Inc, | Adult Reconstructive Orthopaedic Surgery | Current | Accepting new patients |
| Dayton Osteopathic Hospital | Current | Accepting new patients | |
| Dayton Osteopathic Hospital | Current | Accepting new patients | |
| Orthopedic Associates of SW Ohio, Inc | Adult Reconstructive Orthopaedic Surgery | Current | 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
- antonio.manocchio@oaswo.eclinicaldirectplus.com
- 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.
-
- Orthopaedic Surgery Physician
- Dayton, OH
- NPI 1447422118
Adult Reconstructive Orthopaedic Surgery
-
- Multi-Specialty Clinic/Center
- Dayton, OH
- NPI 1588630347
-
- Specialty Pharmacy
- Kettering, OH
- NPI 1629511688
-
- Orthopaedic Surgery Physician
- Fairborn, OH
- NPI 1609387984
Adult Reconstructive Orthopaedic Surgery
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- Home Health Agency
- Dayton, OH
- NPI 1699879601
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Sidney, OH
- NPI 1639174204
-
- Critical Access Hospital
- Greenville, OH
- NPI 1184621161
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.