Individual provider Active NPI

Kamran Manzoor, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Woonsocket, RI
National Provider Identifier
1942408943
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD14403 Issued in RI
Practice address
115 Cass Ave
Woonsocket, RI 02895-4705
Phone
(401) 769-4100
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 14403 RI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD14403 RI Primary

Addresses

Primary practice location

115 Cass Ave
Woonsocket, RI 02895-4705

Mailing address

111 Brewster St
Pawtucket, RI 02860-4474
Phone (401) 729-2635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20140115001305 RI Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1456443225 Reassigns benefits to 4 organizations
I20180124000585 MA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1456443225 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

Practice addresses (Care Compare)

141 Longwater Dr
Suite 201
Norwell, MA 02061-1683

143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200

5 Tarkiln Rd
Kingston, MA 02364-1250
Phone (781) 585-2200

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14403RIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Physicians, LLC Pulmonary Disease CurrentSince May 28, 2025 Accepting new patients
Coastal Medical Associates CurrentSince Apr 29, 2018 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Sep 17, 2017 Accepting new patients
Prima Care, PC CurrentSince May 1, 2018 Accepting new patients
Prospect Chartercare Physicians, LLC Pulmonary Disease CurrentSince Oct 8, 2024 Accepting new patients
South Shore Medical Center, Inc. CurrentSince Jul 29, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 31, 2018 Accepting new patients
Prima Care, PC CurrentSince May 1, 2018 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Sep 17, 2017 Accepting new patients
Hni Medical Services CurrentSince Mar 10, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 31, 2018 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

75 Remittance Dr
Dept 1653
Chicago, IL 60675

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

Interoperability endpoints

  • Direct secure messaging: kmanzoor43323@direct.southcoast.org
  • Direct secure messaging: kamran.manzoor.1@9000.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1942408943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604474",
            "telephone_number": "401-729-2635",
            "fax_number": "401-729-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954705",
            "telephone_number": "401-769-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZOOR",
        "first_name": "KAMRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "14403",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "RI",
            "license": "MD14403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.