Individual provider Active NPI

James Manzanares, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Orlando, FL
National Provider Identifier
1689616989
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME82473 Issued in FL
Practice address
7824 Lake Underhill Road Suite H
Orlando, FL 32822
Phone
(877) 977-7463
Fax
(407) 792-4152
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME82473 FL Primary

Addresses

Primary practice location

7824 Lake Underhill Road Suite H
Orlando, FL 32822

Mailing address

7824 Lake Underhill Rd
Ste H
Orlando, FL 32822-8201
Phone (877) 977-7463

Other identifiers 2

IdentifierTypeStateIssuer
51311YOtherFLMEDICARE P-TAN
51311OtherFLBCBSFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040223000262 FL Practitioner - Orthopedic Surgery 2466348081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Mayo Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopaedic Institute, PAGroup PAC ID 2860385242, 113 clinicians

Practice addresses (Care Compare)

7824 Lake Underhill Rd
Suite H
Orlando, FL 32822-8201
Phone (352) 336-6000

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion32
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Institute PA Orthopaedic Surgery of the Spine CurrentSince May 1, 2023 Accepting new patients
The Orthopaedic Institute, PA Orthopaedic Surgery of the Spine CurrentSince May 1, 2023 Accepting new patients
American Spine & Orthopeadic Institute, LLC Orthopaedic Surgery of the Spine Past Accepting new patients
Gulf Coast Spine & Orthopaedic Institute PLLC PastSince Aug 1, 2006 Accepting new patients

Locations

9410 Fountain Medical Ct
Ste 201
Bonita Springs, FL 34135
Phone (239) 593-9599

5400 N Federal Hwy
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 771-8772

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

7824 Lake Underhill Rd
Ste H
Orlando, FL 32822
Phone (407) 382-6292

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAGJBD/Endpoint/GAGJBD

Organizations & group practices 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1689616989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL RD",
            "address_2": "STE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228201",
            "telephone_number": "877-977-7463",
            "fax_number": "407-792-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL ROAD SUITE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32822",
            "telephone_number": "877-977-7463",
            "fax_number": "407-792-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANARES",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME82473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P-TAN",
            "identifier": "51311Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "51311",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.