Individual provider Active NPI

Manuel Enrique Sanchez Palacios, MD

  • Nephrology Physician
  • Rochester, MN
National Provider Identifier
1558325944
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
74421 Issued in MN
Practice address
5067 55TH St NW
Rochester, MN 55901-3809
Phone
(507) 292-7070
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A62826 CA
Nephrology Physician 207RN0300X 74421 MN Primary

Addresses

Primary practice location

5067 55TH St NW
Rochester, MN 55901-3809

Mailing address

5067 55TH St NW
Rochester, MN 55901-3809
Phone (507) 292-7070

Other identifiers 3

IdentifierTypeStateIssuer
A62826OtherCASTATE LICENSE
GR0100320MedicaidCA
P00471397OtherMEDICARE RAILROAD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN2 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
I20080205000613 CA Practitioner - Nephrology 6709794787 Reassigns benefits to 1 organization
I20240704000633 MN Practitioner - Nephrology 6709794787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians

Practice addresses (Care Compare)

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62826CAMDMental Health Counselor
A62826CAMDNephrology Physician
74421MNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olmsted Medical Center CurrentSince Jun 22, 2024 Accepting new patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince Mar 21, 2018 Accepting new patients
Olmsted Medical Center CurrentSince Jun 22, 2024 Accepting new patients

Locations

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2721 Olive Hwy
Ste 12
Oroville, CA 95966
Phone (530) 533-6061

2450 Oro Dam Blvd E
Oroville, CA 95966
Phone (530) 712-2128

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2971 Olive Hwy
Oroville, CA 95966
Phone (530) 534-6300

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

5067 55th St NW
Rochester, MN 55901
Phone (507) 292-7070

Interoperability endpoints

  • Direct secure messaging: msanchezpalacios24032@direct.olmmed.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.

Hospital & facility affiliations 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1558325944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5067 55TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013809",
            "telephone_number": "507-292-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5067 55TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013809",
            "telephone_number": "507-292-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ PALACIOS",
        "first_name": "MANUEL",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A62826",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "74421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A62826",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00471397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.