Active NPI
Henrik Manassarians, MD
- Vascular Neurology Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 1361176
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A1000820 | Other | CA | MEDI-CAL PPIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ID, WI, NM, OR, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A100082 | CA | MD | Vascular Neurology Physician |
| 1361176 | ID | MD | Vascular Neurology Physician |
| 86875 | WI | MD | Vascular Neurology Physician |
Practice roles
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
- hmanassarians34207@sharphealthcare.direct-ci.com
- 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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
OR
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
CA
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
-
dba Froedtert Northeast Medical Group
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
-
dba Froedtert South Medical Group
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
dba Lincoln County Medical Center
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
dba Saint Alphonsus RMC TVL
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
dba St Alphonsus Rehabilitation Services
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.