Lidia S Manouilova, MD. PHD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0435112 Issued in KS

Practice address

929 N St Francis
Wichita, KS 67214-3821

Phone

(316) 268-5429

Fax

(316) 652-0340

NPI assigned

Apr 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Pathology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southcentral Pathology Laboratory, PAGroup PAC ID 5799759122, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• NMC Health Hospital, Newton, KS, CCN 170103
• Kansas Heart Hospital Hospital, Wichita, KS, CCN 170186
• Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200
• Kingman Healthcare Center Hospital, Kingman, KS, CCN 171378

Merit-based Incentive Payment System (MIPS)

Final score

91.23 of 100Reported as group

Quality

82.45

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Southcentral Pathology Laboratory, PA

  • Cytopathology Physician
  • Wichita, KS
  • NPI 1326028564

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospital St Teresa Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1023334950
  Care Compare affiliation
• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Kansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1114928108
  Care Compare affiliation
• Kansas Heart Hospital, LLC

  • Cardiovascular Disease Physician
  • Wichita, KS
  • NPI 1881477099

  Hospital

  Care Compare affiliation
• Newton Healthcare Corporation

  • General Acute Care Hospital
  • Newton, KS
  • NPI 1245238435
  Care Compare affiliation
• Ninnescah Valley Health Systems, Inc.

  • Critical Access Hospital
  • Kingman, KS
  • NPI 1285629956
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1376869651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N ST FRANCIS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5429",
            "fax_number": "316-652-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOUILOVA",
        "first_name": "LIDIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD. PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "25495",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "0435112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hari Priya Sri Sai Mannam, MD
• Kathrine L Manning, ARNP
• Mark E Manning, PA
• Manor Care of Wichita KS LLC
• Melissa Manor, CRNA
• James Manry, MD
• Cassandra Mans
• Therese Rose Mans, DPT
• Robert C Manske, PT, DPT, MED, SCS
• Grace Manson, M.A., CF-SLP

• Anatomic Pathology & Clinical Pathology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.

Verify at the official NPI Registry.