Active NPI
Kenneth Daniel McManus, D.O.
- Emergency Medicine Physician
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0102204630
- Practice address
- 736 Battlefield Blvd N
Emergency Department
Chesapeake, VA 23320 - Phone
- (757) 312-6200
- Fax
- (757) 312-6181
- NPI assigned
- Mar 14, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0102204630 | VA | Primary |
Addresses
Primary practice location
736 Battlefield Blvd N
Emergency Department
Chesapeake, VA 23320
Mailing address
109 G Gainsborough Square
Box 723
Chesapeake, VA 23320
Phone (757) 490-9388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Emergency Medicine
- Education
- Rowan University School of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 490-9388
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.16 of 100
- Quality
- 88.62
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102204630 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Emergency Medical Care, LTD. | Emergency Medicine | Current | Accepting new patients |
| Chesapeake Observation Medicine Specialists, P.C. | Emergency Medicine | Current | Accepting new patients |
| Tidewater Emergency Medical Care | Past | Accepting new patients |
Locations
109 Gainsborough Sq
Ste G
Chesapeake, VA 23320
Phone (757) 490-9388
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
Interoperability endpoints
- kmcmanus1153668@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Chesapeake, VA
- NPI 1881562353
-
- Emergency Medicine Physician
- Chesapeake, VA
- NPI 1710991153
-
- Physician Assistant
- Chesapeake, VA
- NPI 1295366201
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1386919900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 G GAINSBOROUGH SQUARE",
"address_2": "BOX 723",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-490-9388",
"fax_number": "757-490-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 BATTLEFIELD BLVD N",
"address_2": "EMERGENCY DEPARTMENT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-312-6200",
"fax_number": "757-312-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS",
"first_name": "KENNETH",
"middle_name": "DANIEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-14",
"last_updated": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102204630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.