NPIMap

Individual provider Active NPI

Brian Robert McManus, D.P.M.

  • Podiatrist
  • Rossford, OH
National Provider Identifier
1669715405
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003774 Issued in OH
Practice address
928 Dixie Hwy
Rossford, OH 43460-1333
Phone
(419) 666-5299
NPI assigned
Mar 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003774 OH Primary

Addresses

Primary practice location

928 Dixie Hwy
Rossford, OH 43460-1333

Mailing address

928 Dixie Hwy
Rossford, OH 43460-1333
Phone (419) 666-5299

Other identifiers 1

IdentifierTypeStateIssuer
0180801MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702002228 MI Practitioner - Podiatry 2365673696 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates Clinic PLLCGroup PAC ID 0749663797, 7 clinicians
Foot and Ankle Associates in Patient PLLCGroup PAC ID 2668855727, 7 clinicians
Foot and Ankle Associates NH Care PLLCGroup PAC ID 5496138943, 4 clinicians
Khalil and Usen DPM PCGroup PAC ID 8820009996, 4 clinicians

Practice addresses (Care Compare)

1628 Ford Ave
Wyandotte, MI 48192-2304
Phone (734) 284-1333

Hospital & facility affiliations

  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue70
Removal of nail tissue302
Removal or shaving of skin growth39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003774OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Khalil & Usen DPM, PC CurrentSince May 7, 2018 Accepting new patients

Locations

24566 Southfield Rd
Southfield, MI 48075
Phone (248) 423-4220

1628 Ford Ave
Wyandotte, MI 48192
Phone (734) 284-1311

Interoperability endpoints

  • Direct secure messaging: bmcmanus@ffaas-mi.direct.office.nextgen.com
  • Direct secure messaging: bmcmanus136261@direct.hfhs.org

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 9

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1669715405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 DIXIE HWY",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601333",
            "telephone_number": "419-666-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 DIXIE HWY",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601333",
            "telephone_number": "419-666-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rossford, OH

Sources for this page

Verify at the official NPI Registry.