NPIMap

Individual provider Active NPI

Daniel Brooks Mannas, M.D.

  • Urology Physician
  • Farmington, NM
National Provider Identifier
1811287782
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD2016-0480 Issued in NM
Practice address
2700 Farmington Ave
BLDG E Ste 1
Farmington, NM 87401-4559
Phone
(505) 609-6380
Fax
(505) 599-4641
NPI assigned
Apr 13, 2011
Last updated
Aug 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X MD2016-0480 NM Primary

Addresses

Primary practice location

2700 Farmington Ave
BLDG E Ste 1
Farmington, NM 87401-4559

Mailing address

PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161029000017 NM Practitioner - Urology 2769615889 Reassigns benefits to 1 organization
I20170607003092 CO Practitioner - Urology 2769615889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Ohio State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2700 Farmington Ave BLDG
E1 Sjrmc Urology
Farmington, NM 87401-4550
Phone (505) 609-6830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
79.73
Promoting interoperability
100
Improvement activities
40
Cost
78.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2016-0480NMMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc Family Medicine CurrentSince Aug 23, 2016 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
San Juan Regional Medical Center Inc Urology CurrentSince Aug 23, 2016 Accepting new patients
San Juan Regional Medical Center Inc Urology CurrentSince Jun 16, 2017 Accepting new patients
San Juan Regional Medical Center Inc Past Accepting new patients

Locations

2700 Farmington Ave
Bldg E1
Farmington, NM 87401
Phone (505) 609-6300

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

2300 E 30th St
Ste B-102
Farmington, NM 87401
Phone (505) 327-4044

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1811287782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 FARMINGTON AVE",
            "address_2": "BLDG E STE 1",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014559",
            "telephone_number": "505-609-6380",
            "fax_number": "505-599-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNAS",
        "first_name": "DANIEL",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NM",
            "license": "MD2016-0480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.