NPIMap

Individual provider Active NPI

Peter Anthony Maningas, MD

  • Emergency Medicine Physician
  • Harrison, AR
National Provider Identifier
1730135815
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
114105 Issued in MO
Practice address
620 N Main St
Harrison, AR 72601-2911
Phone
(870) 414-4000
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 114105 MO Primary
Emergency Medicine Physician 207P00000X E-5580 AR

Addresses

Primary practice location

620 N Main St
Harrison, AR 72601-2911

Mailing address

720 Emerald Point Dr
D2
Hollister, MO 65672-4839
Phone (417) 291-1129

Other identifiers 3

IdentifierTypeStateIssuer
175009001MedicaidAR
243419306MedicaidMO
204642102MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190502002106 TX Practitioner - Emergency Medicine 8820191091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Tribal Chairmen's Health BoardGroup PAC ID 0648609917, 64 clinicians

Practice addresses (Care Compare)

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone 60535525002356

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Tribal Chairmen's Health Board CurrentSince Mar 1, 2020 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 18, 2019 Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 18, 2019 Accepting new patients
Little Blue Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Skaggs Community Hospital Association Emergency Medicine Past Accepting new patients
Dardanelle Emergency Medicine LLC Emergency Medicine Past Accepting new patients
Missouri Em-I Medical Services, P.C. Emergency Medicine Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282

3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500

Interoperability endpoints

  • Direct secure messaging: peter.maningas@588981714812932.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1730135815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 EMERALD POINT DR",
            "address_2": "D2",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656724839",
            "telephone_number": "417-291-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012911",
            "telephone_number": "870-414-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANINGAS",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "114105",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-5580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175009001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243419306",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204642102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.