Individual provider Active NPI

Martin Manansala, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
National Provider Identifier
1962936526
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
31785-01 Issued in NY
Practice address
MSC 10 6000 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone
(505) 272-6487
NPI assigned
Apr 20, 2017
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 31785-01 NY Primary

Addresses

Primary practice location

MSC 10 6000 1 University of New Mexico
Albuquerque, NM 87131-0001

Mailing address

MSC 10 6000 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220603001322 NY Practitioner - Physical Medicine and Rehabilitation 0547531808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Spine and Pain Medicine LLCGroup PAC ID 5597908202, 11 clinicians

Practice addresses (Care Compare)

7445 Morgan Rd
Liverpool, NY 13090-3989
Phone (315) 451-5400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31785-01NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine & Rehab Medical Service Group Physical Medicine & Rehabilitation CurrentSince Nov 1, 2025 Accepting new patients
Cny Spine and Pain Medicine LLC CurrentSince Apr 26, 2022 Accepting new patients
Cny Spine and Pain Medicine LLC CurrentSince Apr 26, 2022 Accepting new patients
Upstate Neurosurgery LLP Past Accepting new patients

Locations

7445 Morgan Rd
Liverpool, NY 13090
Phone (315) 420-5056

7449 Morgan Rd
Liverpool, NY 13090
Phone (315) 451-5400

813 Fay Rd
Syracuse, NY 13219
Phone (315) 464-5820

Interoperability endpoints

  • Direct secure messaging: mmanansala@cny.curemd.direct-ci.com

Organizations & group practices 4

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1962936526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 10 6000 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC 10 6000 1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANANSALA",
        "first_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "31785-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.