Kevin P Manchenton, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2349 Issued in AZ

Practice address

1601 W Saint Marys Rd
Tucson, AZ 85745-2623

Phone

(520) 872-4901

Fax

(520) 901-3642

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

97.68 of 100Reported as group

Quality

92.69

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Northwest Allied Physicians LLC

  • General Practice Physician
  • Tucson, AZ
  • NPI 1003833179
  Medicare reassignment NPD
• Ies Arizona PLLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1821752213
  Medicare reassignment
• Ies Obs Arizona PLLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1356006670
  Medicare reassignment
• Nextcare Arizona LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1043371826
  Medicare reassignment
• Sound Physicians Emergency Medicine of Arizona, Inc.

  • Emergency Medicine Physician
  • Sierra Vista, AZ
  • NPI 1700328663
  Medicare reassignment
• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  NPD
• Emergency Room Associates

  • Physician Assistant
  • Tucson, AZ
  • NPI 1457576068
  NPD (past)
• Emergency Room Associates Limited

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1770586869
  NPD (past)
• Northwest Rancho Vistoso Imaging Services LLC

  • Clinic/Center
  • Tucson, AZ
  • NPI 1730132036
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1902835606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12730",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857322730",
            "telephone_number": "520-647-8850",
            "fax_number": "520-647-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452623",
            "telephone_number": "520-872-4901",
            "fax_number": "520-901-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHENTON",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Linda Manalo, NP
• Angela Gloria Manansala, M.D.
• Carly Mance, LPC
• Sanjay Manchanda, M.A. PH.D. LMFT
• Peter Jonathan Manchen, DO
• Lorraine Hanna Manciet, MD
• Sudhir Manda, MD
• Jonathan Edward Mandabach, M.D.
• Richard M Mandel, MD
• Mansi Mandhani

• Medical Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.