Individual provider Active NPI

Emmanuel Sison Manuel, M.D.

  • Urology Physician
  • Milwaukee, WI
National Provider Identifier
1962400234
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
22808 Issued in WI
Practice address
3201 S 16TH St
Ste 1015
Milwaukee, WI 53215-4537
Phone
(414) 643-4300
Fax
(414) 384-4332
NPI assigned
Jul 12, 2005
Last updated
Oct 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 22808 WI Primary

Addresses

Primary practice location

3201 S 16TH St
Ste 1015
Milwaukee, WI 53215-4537

Mailing address

3201 S 16TH St
Ste 1015
Milwaukee, WI 53215-4537
Phone (414) 643-4300

Other identifiers 1

IdentifierTypeStateIssuer
30299800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel S Manuel MD SC Urology PastSince Feb 1, 2005 Accepting new patients

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1962400234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S 16TH ST",
            "address_2": "STE 1015",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154537",
            "telephone_number": "414-643-4300",
            "fax_number": "414-384-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S 16TH ST",
            "address_2": "STE 1015",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154537",
            "telephone_number": "414-643-4300",
            "fax_number": "414-384-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "EMMANUEL",
        "middle_name": "SISON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "22808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30299800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.