Individual provider Active NPI

Rebecca L Manno, M.D.

  • Rheumatology Physician
  • Baltimore, MD
National Provider Identifier
1871717652
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D64017 Issued in MD
Practice address
5501 Hopkins Bayview Cir
Room 1B.5
Baltimore, MD 21224-6821
Phone
(410) 550-8089
NPI assigned
Apr 12, 2007
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0064017 MD
Rheumatology Physician 207RR0500X D64017 MD Primary

Addresses

Primary practice location

5501 Hopkins Bayview Cir
Room 1B.5
Baltimore, MD 21224-6821

Mailing address

PO Box 64264
Baltimore, MD 21264-4264
Phone (410) 550-2069

Other identifiers 1

IdentifierTypeStateIssuer
046495300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110809000057 MD Practitioner - RheumatologyPractitioner - Internal Medicine 4385813377 Reassigns benefits to 1 organization
I20190506002725 VI Practitioner - Rheumatology 4385813377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Maryland Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Orthopedics LLCGroup PAC ID 0749355469, 7 clinicians

Practice addresses (Care Compare)

9151 Estate Thomas
Suite 206
St. Thomas, VI 00802-2716
Phone (340) 779-2663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064017MDMDInternal Medicine Physician
D64017MDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jul 1, 2011 Accepting new patients
Johns Hopkins University Rheumatology CurrentSince Jul 1, 2011 Accepting new patients
Comprehensive Orthopedics LLC CurrentSince Mar 31, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients
Liberty Medical Development, LLC PastSince Mar 31, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

5501 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0545

5501 Hopkins Bayview Cir
Rm 1B5
Baltimore, MD 21224
Phone (410) 550-8089

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

4006 Estate Diamond
Ste 201
St Croix, VI 00820
Phone (340) 718-2665

9151 Estate Thomas
St Thomas, VI 00802
Phone (340) 774-1531

9151 Estate Thomas
Ste 206
St Thomas, VI 00802

Organizations & group practices 6

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 2

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1871717652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64264",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644264",
            "telephone_number": "410-550-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 HOPKINS BAYVIEW CIR",
            "address_2": "ROOM 1B.5",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246821",
            "telephone_number": "410-550-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNO",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0064017",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D64017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046495300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.