Michael Gregory Mancuso, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35043115 Issued in OH

Practice address

34055 Solon Rd Ste 108
Solon, OH 44139-2600

Phone

(440) 248-2955

Fax

(440) 248-5717

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

91.15 of 100Reported as apm

Quality

82.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mmancuso37083@ehrdirect.uhhospitals.org

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.

• Michael G Mancuso MD Inc

  • Specialist
  • Solon, OH
  • NPI 1134380868
  Authorized official Same address or phone
• University Primary Care Practices Inc

  • Dermatology Physician
  • Solon, OH
  • NPI 1134242928
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1962510800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33001 SOLON RD",
            "address_2": "SUITE 211",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392839",
            "telephone_number": "440-248-2955",
            "fax_number": "440-248-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34055 SOLON RD STE 108",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392600",
            "telephone_number": "440-248-2955",
            "fax_number": "440-248-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "MICHAEL",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35043115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515188",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmancuso@uhhospitals.encitedirect.com",
            "affiliation": "N",
            "address_1": "34055 Solon Road",
            "address_2": "Suite 108",
            "city": "solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmancuso@uhhospitals.encitedirect.com",
            "affiliation": "N",
            "address_1": "34055 Solon Road",
            "address_2": "Suite 108",
            "city": "solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmancuso@uhhospitals.encitedirect.com",
            "affiliation": "N",
            "address_1": "34055 Solon Rd Ste 108",
            "city": "Solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441392600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Main Street Medical Group, LLC
• Moumita Majee
• Dominique Majewski, MA
• Anthony Makarich, PHARM.D
• Baljan Mametkulyyev, SURGICAL ASSISTANT
• Avgero Manouselis
• Marc Glassman Inc (Marcs)
• Robyn Hellman Margolis, MBA,PT
• Beth Anne Martin, PHD
• Richard A. Marvin, L.S.W.

• Specialist in Solon, OH
• Providers in Solon, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.