Individual provider Active NPI

Henrik Manassarians, MD

  • Vascular Neurology Physician
  • Boise, ID
National Provider Identifier
1598798795
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
1361176 Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 302-4200
Fax
(208) 302-4255
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 86875 WI
Vascular Neurology Physician 2084V0102X 86875 WI
Vascular Neurology Physician 2084V0102X 1361176 ID Primary
Vascular Neurology Physician 2084V0102X A100082 CA

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Other practice location 2

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

Other identifiers 1

IdentifierTypeStateIssuer
0A1000820OtherCAMEDI-CAL PPIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID, WI, NM, OR, GA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20071016000161 CA Practitioner - Neurology 4486658911 Reassigns benefits to 4 organizations
I20241016004214 ID Practitioner - Neuropsychiatry 4486658911 Reassigns benefits to 1 organization
I20260318001083 WI Practitioner - Neurology 4486658911 Reassigns benefits to 4 organizations
I20260319001864 NM Practitioner - Neurology 4486658911 Reassigns benefits to 4 organizations
I20260421001242 OR Practitioner - Neurology 4486658911 Reassigns benefits to 1 organization
I20260518001113 GA Practitioner - Neurology 4486658911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

3025 W Cherry LN
Meridian, ID 83642-8531

3175 Pocahontas Rd
Baker City, OR 97814-1434
Phone (208) 302-2200

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100082CAMDVascular Neurology Physician
1361176IDMDVascular Neurology Physician
86875WIMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 10, 2026 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince May 4, 2009 Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 1, 2026 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Apr 10, 2026 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Neurology CurrentSince Nov 1, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 4, 2008 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Nov 1, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 1, 2026 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 4, 2008 Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc Past Accepting new patients
Saint Alphonsus Medical Center Nampa, Inc. Past Accepting new patients
St Alphonsus Regional Med Past Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

2929 Health Center Dr
San Diego, CA 92123
Phone (858) 939-6531

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

11421 N Port Washington Rd
Mequon, WI 53092
Phone (262) 518-4910

3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533

Interoperability endpoints

  • Direct secure messaging: hmanassarians34207@sharphealthcare.direct-ci.com
  • Direct secure messaging: hmanassarians3827946@direct.trinity-health.org

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 6

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1598798795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-302-4200",
            "fax_number": "208-302-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Frost St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232701",
            "country_code": "US",
            "telephone_number": "858-939-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-735-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANASSARIANS",
        "first_name": "HENRIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "86875",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "WI",
            "license": "86875",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "ID",
            "license": "1361176",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A100082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PPIN #",
            "identifier": "0A1000820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.