Active NPI
Richard Alexander Manfready, M.D.
- Gastroenterology Physician
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD-51934
- Practice address
- 1015 S Hackett Rd
Waterloo, IA 50701-3500 - Phone
- (319) 234-5990
- Fax
- (319) 234-5994
- NPI assigned
- Apr 3, 2017
- Last updated
- Oct 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036.152697 | IL | |
| Gastroenterology Physician | 207RG0100X | MD-51934 | IA | Primary |
Addresses
Primary practice location
1015 S Hackett Rd
Waterloo, IA 50701-3500
Mailing address
PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390
Other practice location 1
1725 W Harrison St Ste 207
Chicago, IL 60612-3988
Phone (312) 942-5861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Tulane University School of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1015 S Hackett Rd
Waterloo, IA 50701-3500
Phone (319) 234-5990
1753 W Ridgeway Ave
Waterloo, IA 50701-4588
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941
4150 Kimball Ave
Waterloo, IA 50701-9086
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 99 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 161 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.152697 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Gastroenterology | Current | Accepting new patients |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Past | Accepting new patients |
Locations
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
1015 S Hackett Rd
Waterloo, IA 50701
Phone (319) 234-5990
1015 S Hackett Rd
Ste B
Waterloo, IA 50701
Phone (319) 406-5990
Interoperability endpoints
- rmanfready1017450@direct.unitypoint.org
Organizations & group practices 8
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.
-
dba Allen Hospital
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
-
- Orthopaedic Surgery Physician
- Waterloo, IA
- NPI 1497794242
Gastroenterology
-
- Gastroenterology Physician
- Waterloo, IA
- NPI 1427996404
-
dba Allen Hospital
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
-
- Durable Medical Equipment & Medical Supplies
- Vinton, IA
- NPI 1659934180
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Durable Medical Equipment & Medical Supplies
- Waverly, IA
- NPI 1073567780
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Allen Hospital
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1710419122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2758",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042758",
"telephone_number": "319-235-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S HACKETT RD",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507013500",
"telephone_number": "319-234-5990",
"fax_number": "319-234-5994"
}
],
"practiceLocations": [
{
"address_1": "1725 W Harrison St Ste 207",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123988",
"country_code": "US",
"telephone_number": "312-942-5861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANFREADY",
"first_name": "RICHARD",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036.152697",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IA",
"license": "MD-51934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.