Dennis Takami Manshio, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036065850 Issued in IL

Practice address

2907 S Wabash Ave Ste 100a
Chicago, IL 60616-3271

Phone

(773) 477-3699

Fax

(312) 877-5049

NPI assigned

Mar 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Family PracticeAlso: Geriatric Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dennis T Manshio MD PHD SC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1710289111
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate North Side Health Network

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912014564
  Care Compare affiliation

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1811026297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 S WABASH AVE STE 100A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163271",
            "telephone_number": "773-477-3699",
            "fax_number": "773-477-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 S WABASH AVE STE 100A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163271",
            "telephone_number": "773-477-3699",
            "fax_number": "312-877-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSHIO",
        "first_name": "DENNIS",
        "middle_name": "TAKAMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036065850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065850",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiana Marie Manrique, DPT
• Yolanda Manrique, LSW
• Ixtlily Manriquez Elizalde, LCSW
• Rachel Bethany Mansfield
• Aaron D Manshaem, PA-C
• Carly Manshum, BSW
• Ahmed Mansi, MD
• Jacob George Manske, M.D.
• Drew Manson, DDS
• Jesse Manson, PTA

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.