Individual provider Active NPI

Yvonne Socorro Manalo, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
National Provider Identifier
1619956596
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
L5449 Issued in TX
Practice address
1625 Rodd Field Rd Ste 100
Corpus Christi, TX 78412-4926
Phone
(361) 887-0067
Fax
(361) 887-9453
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD060915L PA
Hematology & Oncology Physician 207RH0003X L5449 TX Primary
Medical Oncology Physician 207RX0202X L5449 TX

Addresses

Primary practice location

1625 Rodd Field Rd Ste 100
Corpus Christi, TX 78412-4926

Mailing address

PO Box 81346
Corpus Christi, TX 78468-1346
Phone (361) 887-0067

Other identifiers 3

IdentifierTypeStateIssuer
5259589OtherTXAETNA
8G2171OtherTXBLUE CROSS BLUE SHIELD
154795201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100217000239 TX Practitioner - Hematology/Oncology 9739123365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Bend Cancer Center, PAGroup PAC ID 6002954690, 6 clinicians

Practice addresses (Care Compare)

1625 Rodd Field Rd
Suite 100
Corpus Christi, TX 78412-4926
Phone (361) 887-0067

Hospital & facility affiliations

  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060915LPAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Cancer Center, PA Hematology & Oncology CurrentSince Jan 15, 2003 Accepting new patients
Piedmont Healthcare, PA Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Coastal Bend Cancer Center Pharmacy LLC PastSince Mar 11, 2019 Accepting new patients
Mooresville Hma Physician Management, Inc. Past Accepting new patients

Locations

1625 Rodd Field Rd
#100
Corpus Christi, TX 78412
Phone (361) 887-0067

5701 Spid Dr
Corpus Christi, TX 78412
Phone (361) 334-5130

Organizations & group practices 5

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 2

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1619956596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81346",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784681346",
            "telephone_number": "361-887-0067",
            "fax_number": "361-883-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RODD FIELD RD STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124926",
            "telephone_number": "361-887-0067",
            "fax_number": "361-887-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "YVONNE",
        "middle_name": "SOCORRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD060915L",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "L5449",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "L5449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5259589",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G2171",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154795201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.