NPIMap

Individual provider Active NPI

Manuel Caceres Polo, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Philadelphia, PA
National Provider Identifier
1467470542
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD443939 Issued in PA
Practice address
3509 N Broad St
Philadelphia, PA 19140-4105
Phone
(215) 707-8484
Fax
(215) 707-3946
NPI assigned
Jul 17, 2006
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD443939 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD443939 PA Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35.096163 OH

Addresses

Primary practice location

3509 N Broad St
Philadelphia, PA 19140-4105

Mailing address

3500 N Broad St # 1a
Philadelphia, PA 19140-4106
Phone (215) 707-2433

Other names 1

  • Manuel Caceres Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, PA, NY4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20101112000005 OH Practitioner - General SurgeryPractitioner - Cardiac Surgery 3577654474 Reassigns benefits to 2 organizations
I20201027000649 TX Practitioner - Thoracic Surgery 3577654474 Reassigns benefits to 1 organization
I20230103002653 PA Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiac Surgery 3577654474 Reassigns benefits to 1 organization
I20240122001202 NY Practitioner - Thoracic Surgery 3577654474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-8484

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC CurrentSince Dec 15, 2010 Accepting new patients
New York University CurrentSince Jan 1, 2024 Accepting new patients
Parma Community General Hospital Association CurrentSince Feb 5, 2011 Accepting new patients
New York University Surgery CurrentSince Jan 1, 2024 Accepting new patients
Parma Community General Hospital Association CurrentSince Feb 5, 2011 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Dec 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Dec 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Cottle Pathology Services, Inc Current Accepting new patients
Martin Clinic Corp Surgery Past Accepting new patients
Cardiovascular Surgery Clinic, PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

11900 Fairhill Rd
Cleveland, OH 44120
Phone (216) 231-2344

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6990 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 202-4200

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

4200 Interchange Corporate Center Rd
Warrensville Heights, OH 44128
Phone (216) 292-5750

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3500 N Broad St
#1A
Philadelphia, PA 19140

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

Interoperability endpoints

  • Direct secure messaging: mcaceres@direct.swgeneral.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1467470542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST # 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-707-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-8484",
            "fax_number": "215-707-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES POLO",
        "first_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD443939",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD443939",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35.096163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANUEL",
            "last_name": "CACERES",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.