Individual provider Active NPI

Manny Lai, DO

  • Pain Medicine Physician
  • Wilmington, DE
National Provider Identifier
1669836037
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
C2-0023945 Issued in DE
Practice address
405 Silverside Rd Ste 104
Wilmington, DE 19809-1768
Phone
(844) 365-7246
Fax
(844) 516-0080
NPI assigned
Apr 11, 2016
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X C20023945 DE
Pain Medicine Physician 208VP0000X C2-0023945 DE Primary

Addresses

Primary practice location

405 Silverside Rd Ste 104
Wilmington, DE 19809-1768

Mailing address

291 Carter Dr Ste a
Middletown, DE 19709-5845
Phone (844) 365-7246

Other practice location 1

3105 Limestone Rd Ste 300
Wilmington, DE 19808-2156
Phone (844) 365-7246

Other practice location 2

4701 Ogletown Stanton Rd Ste 1200
Newark, DE 19713-2079
Phone (844) 365-7246

Other practice location 3

291 Carter Dr Ste A
Middletown, DE 19709-5845
Phone (844) 365-7246

Other practice location 4

1197 Airport Rd Fl 2
Milford, DE 19963-6418
Phone (302) 894-2881

Other identifiers 2

IdentifierTypeStateIssuer
250657049MedicaidDE
587195600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20210830000299 DE Practitioner - Pain ManagementPractitioner - Anesthesiology 5890086391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

291 Carter Dr
Suite a
Middletown, DE 19709-5845
Phone (844) 365-7246

3105 Limestone Rd
Suite 300
Wilmington, DE 19808-2156
Phone (844) 365-7246

405 Silverside Rd
Suite 104
Wilmington, DE 19809-1768
Phone (844) 365-7246

4701 Ogletown Stanton Rd
Newark, DE 19713-2055
Phone (844) 365-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.05 of 100Reported as group
Quality
87.44
Promoting interoperability
0
Improvement activities
40
Cost
81.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20023945DEMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Interventional Pain Spine LLC Pain Medicine CurrentSince Sep 1, 2021 Accepting new patients
Center for Interventional Pain Spine LLC Pain Medicine CurrentSince Sep 1, 2021 Accepting new patients

Locations

291 Carter Dr
Ste A
Middletown, DE 19709
Phone (844) 365-7146

1197 Airport Rd
Fl 2
Milford, DE 19963
Phone (844) 365-2202

4701 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 266-7800

4701 Ogletown Stanton Rd
Ste 1200
Newark, DE 19713
Phone (302) 623-4702

3105 Limestone Rd
Ste 300
Wilmington, DE 19808
Phone (302) 992-0200

405 Silverside Rd
Ste 104
Wilmington, DE 19809
Phone (844) 365-2202

223 Wilmington W Chester Pike
Ste 214
Chadds Ford, PA 19317

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1669836037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CARTER DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095845",
            "telephone_number": "844-365-7246",
            "fax_number": "844-524-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD STE 104",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091768",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Limestone Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198082156",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 Ogletown Stanton Rd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132079",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "291 Carter Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095845",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1197 Airport Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199636418",
            "country_code": "US",
            "telephone_number": "302-894-2881",
            "fax_number": "844-516-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAI",
        "first_name": "MANNY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "DE",
            "license": "C20023945",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "DE",
            "license": "C2-0023945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250657049",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587195600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.