Individual provider Active NPI

Manhal M Tannous, MD

  • Gastroenterology Physician
  • Wheeling, WV
National Provider Identifier
1417064825
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
29890 Issued in WV
Practice address
30 Medical Park Ste 223
Wheeling, WV 26003-6391
Phone
(304) 243-7928
Fax
(304) 243-2928
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 29890 WV Primary
Gastroenterology Physician 207RG0100X MD459392 PA
Gastroenterology Physician 207RG0100X 35547 IA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

30 Medical Park Ste 223
Wheeling, WV 26003-6391

Mailing address

30 Medical Park Ste 223
Wheeling, WV 26003-6391
Phone (304) 243-7928

Other identifiers 2

IdentifierTypeStateIssuer
0449231MedicaidIA
36497OtherIAWELLMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200909001009 WV Practitioner - Gastroenterology 9638149834 Reassigns benefits to 1 organization
I20210106002808 OH Practitioner - Gastroenterology 9638149834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

68 State Route 7
Bridgeport, OH 43912-1642
Phone (740) 676-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy268
Upper gastrointestinal (GI) endoscopy for acid reflux341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29890WVMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc Gastroenterology CurrentSince Sep 1, 2020 Accepting new patients
Wheeling Hospital Inc CurrentSince Sep 22, 2020 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

4697 Harrison St
Bellaire, OH 43906
Phone (304) 234-2000

68 State Route 7
Bridgeport, OH 43912
Phone (740) 676-6600

222 N 5th St
Ste 101
Martins Ferry, OH 43935
Phone (740) 633-6480

51339 National Rd
St Clairsvle, OH 43950
Phone (740) 695-1210

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

30 Medical Park
Ste 223
Wheeling, WV 26003
Phone (304) 243-7928

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.

Hospital & facility affiliations 2

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1417064825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL PARK STE 223",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036391",
            "telephone_number": "304-243-7928",
            "fax_number": "304-243-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL PARK STE 223",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036391",
            "telephone_number": "304-243-7928",
            "fax_number": "304-243-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNOUS",
        "first_name": "MANHAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "29890",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD459392",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "35547",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449231",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "36497",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.