Individual provider Active NPI

Manica Isiguzo, M.D.

  • Pulmonary Disease Physician
  • Beachwood, OH
National Provider Identifier
1932158078
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35087437 Issued in OH
Practice address
26900 Cedar Rd Ste 325S
Beachwood, OH 44122-1157
Phone
(216) 839-3000
Fax
(216) 839-3829
NPI assigned
May 8, 2006
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35087437 OH Primary

Addresses

Primary practice location

26900 Cedar Rd Ste 325S
Beachwood, OH 44122-1157

Mailing address

26900 Cedar Rd Ste 325S
Beachwood, OH 44122-1157
Phone (216) 839-3000

Other identifiers 1

IdentifierTypeStateIssuer
2655630MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20121010000300 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2860404068 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35087437OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ips LLC Pulmonary Disease CurrentSince Aug 30, 2012 Accepting new patients

Locations

21 Spurs Ln
Ste 230B
San Antonio, TX 78240

4458 Medical Dr
Ste 505
San Antonio, TX 78229

4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1932158078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 CEDAR RD STE 325S",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221157",
            "telephone_number": "216-839-3000",
            "fax_number": "216-839-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 CEDAR RD STE 325S",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221157",
            "telephone_number": "216-839-3000",
            "fax_number": "216-839-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIGUZO",
        "first_name": "MANICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35087437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2655630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.