Individual provider Active NPI

William A Manzo, MD

  • Diagnostic Radiology Physician
  • Des Moines, IA
National Provider Identifier
1689712408
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
46468 Issued in IA
Practice address
1111 6TH Ave
Des Moines, IA 50314-2613
Phone
(515) 643-2667
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 113481 MO
Diagnostic Radiology Physician 2085R0202X G76974 CA
Diagnostic Radiology Physician 2085R0202X 036136302 IL
Diagnostic Radiology Physician 2085R0202X 46468 IA Primary
Diagnostic Radiology Physician 2085R0202X 352225 LA
Diagnostic Radiology Physician 2085R0202X 453710 PA
Diagnostic Radiology Physician 2085R0202X 3605 AR

Addresses

Primary practice location

1111 6TH Ave
Des Moines, IA 50314-2613

Mailing address

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 643-2667

Other practice location 1

15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 345-2700

Other identifiers 5

IdentifierTypeStateIssuer
139978001MedicaidAR
352225OtherLALICENSE
98374OtherARARK BLUE SHIELD
208856120MedicaidMO
173098OtherMOMO BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, TN, NE4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20141204001138 IL Practitioner - Diagnostic Radiology 5890768170
I20200117000162 IA Practitioner - Diagnostic Radiology 5890768170 Reassigns benefits to 2 organizations
I20250521003050 TN Practitioner - Diagnostic Radiology 5890768170 Reassigns benefits to 1 organization
I20250612001501 NE Practitioner - Diagnostic Radiology 5890768170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Associates, P.C.Group PAC ID 7113820788, 20 clinicians
Radiology Imaging Associates of Oak Ridge PCGroup PAC ID 4082696273, 16 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 643-2667

18131 Miami St
Elkhorn, NE 68022-4194
Phone (423) 826-8220

990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone 86673056192240

Hospital & facility affiliations

  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
  • Livingston Regional Hospital Hospital, Livingston, TN, CCN 440187
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
  • Dekalb Community Hospital Hospital, Smithville, TN, CCN 440148
  • The Medical Center at Albany Hospital, Albany, KY, CCN 181333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3605ARMDDentist
G76974CAMDDiagnostic Radiology Physician
46468IAMDDiagnostic Radiology Physician
036136302ILMDDiagnostic Radiology Physician
113481MOMDDiagnostic Radiology Physician
453710PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives-Iowa Corp CurrentSince May 20, 2020 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince May 20, 2020 Accepting new patients
Radiology Imaging Associates of Oak Ridge PC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Diagnostic Imaging Associates, P.C. Diagnostic Radiology CurrentSince Jan 6, 2020 Accepting new patients
Associated Pathologists, LLC Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

800 E 1st St
Ste 1100
Ankeny, IA 50021
Phone (515) 643-7676

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

12499 University Ave
Clive, IA 50325
Phone (515) 245-6425

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1601 NW 114th St
Ste 128
Des Moines, IA 50325
Phone (515) 222-7550

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

2006 N 4th St
Ste 202B
Indianola, IA 50125
Phone (515) 358-7680

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1550 6th St
Manning, IA 51455
Phone (712) 655-2072

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

522 N Hancock St
Ottumwa, IA 52501
Phone (641) 683-0800

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

Interoperability endpoints

  • Direct secure messaging: william.manzo.p1@direct.iowaheart.nextgenshare.com

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 5

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1689712408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-643-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-643-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-345-2700",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZO",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "113481",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G76974",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036136302",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "46468",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "352225",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "453710",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "3605",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139978001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "352225",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE SHIELD",
            "identifier": "98374",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208856120",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BLUE SHIELD",
            "identifier": "173098",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.