Individual provider Active NPI

Cosme Y Manzarbeitia, MD

  • Surgery Physician
  • Parkland, FL
National Provider Identifier
1487614079
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME136930 Issued in FL
Practice address
9282 NW 63Rd CT
Parkland, FL 33067-3758
Phone
(484) 716-9519
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-055579-L PA
Surgery Physician 208600000X ME136930 FL Primary
Transplant Surgery Physician 204F00000X MD055579L PA
Transplant Surgery Physician 204F00000X ME136930 FL

Addresses

Primary practice location

9282 NW 63Rd CT
Parkland, FL 33067-3758

Mailing address

9282 NW 63Rd CT
Parkland, FL 33067-3758
Phone (484) 716-9519

Other identifiers 2

IdentifierTypeStateIssuer
001524990MedicaidPA
100369800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20190123003348 FL Practitioner - General Surgery 3971664368 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136930FLMDTransplant Surgery Physician
MD055579LPAMDTransplant Surgery Physician
MD-055579-LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. Surgery CurrentSince Nov 27, 2023 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Surgery CurrentSince Dec 3, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 27, 2023 Accepting new patients
Leonid Magidenko, MD, PC CurrentSince Oct 15, 2009 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Dec 3, 2020 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

2601 SW 37th Ave
Ste 901
Miami, FL 33133
Phone (305) 285-7282

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
#428
Chester, PA 19013
Phone (610) 874-4044

518 Bustleton Pike
Fl 1
Fstrvl Trvose, PA 19053
Phone (215) 464-4060

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

9922 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 464-3300

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1487614079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9282 NW 63RD CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673758",
            "telephone_number": "484-716-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9282 NW 63RD CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330673758",
            "telephone_number": "484-716-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZARBEITIA",
        "first_name": "COSME",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD-055579-L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME136930",
            "primary": true
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "PA",
            "license": "MD055579L",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "FL",
            "license": "ME136930",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001524990",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100369800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

Verify at the official NPI Registry.