Individual provider Active NPI

Warren Manyara, M.D.

  • Hospitalist Physician
  • Rochester, NY
National Provider Identifier
1639330822
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
338919 Issued in NY
Practice address
1425 Portland Ave
Rochester, NY 14621-3011
Phone
(585) 922-5067
Fax
(585) 922-2908
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52490 MN
Surgery Physician 208600000X 52490 MN
Internal Medicine Physician 207R00000X 338919 NY
Internal Medicine Physician 207R00000X 4301100558 MI
Hospitalist Physician 208M00000X 338919 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Rochester, NY 14621-3011

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1555 Long Pond Rd
Rochester, NY 14626-4164
Phone (585) 723-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmanyara421087@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NY2 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
I20100105000228 MN Practitioner - Internal MedicinePractitioner - General Surgery 2466593074 Reassigns benefits to 12 organizations
I20250917002026 NY Practitioner - Internal Medicine 2466593074 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301100558MIMDInternal Medicine Physician
338919NYMDInternal Medicine Physician
52490MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Surgery CurrentSince Jul 28, 2025 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Dec 23, 2021 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jul 28, 2025 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Jul 27, 2015 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince May 10, 2024 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Dec 23, 2021 Accepting new patients
Mayo Clinic Health System-St James CurrentSince May 1, 2024 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Dec 23, 2021 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Fairview Health Services CurrentSince May 1, 2020 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Mayo Clinic Health System-St James Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Jul 27, 2015 Accepting new patients
Rochester General Hospital Internal Medicine Current Accepting new patients
Fairview Health Services Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince May 1, 2024 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Past Accepting new patients

Locations

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

501 State St N
Waseca, MN 56093
Phone (507) 835-1210

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 28

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1639330822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "fax_number": "585-922-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213011",
            "telephone_number": "585-922-5067",
            "fax_number": "585-922-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264164",
            "country_code": "US",
            "telephone_number": "585-723-7000",
            "fax_number": "585-723-7871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANYARA",
        "first_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "52490",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "52490",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "338919",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301100558",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "338919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmanyara421087@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 Portland Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.