NPIMap

Individual provider Active NPI

Erwin M Manalo, MD

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Chattanooga, TN
National Provider Identifier
1982697876
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P0301X
License
54591 Issued in TN
Practice address
1 Siskin PLZ Ste 101
Chattanooga, TN 37403-1306
Phone
(423) 803-2226
Fax
(423) 803-2222
NPI assigned
Aug 25, 2005
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 200301260 NC
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 79154 GA
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 54591 TN Primary

Addresses

Primary practice location

1 Siskin PLZ Ste 101
Chattanooga, TN 37403-1306

Mailing address

1 Siskin PLZ Ste 101
Chattanooga, TN 37403-1306
Phone (423) 803-2226

Other identifiers 3

IdentifierTypeStateIssuer
1982697876MedicaidNC
135CTOtherNCBCBS NC
P00111583OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010000335 TN Practitioner - Physical Medicine and Rehabilitation 4587707773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Loma Linda University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Spine and Rehabilitation PLLCGroup PAC ID 7315002052, 15 clinicians

Practice addresses (Care Compare)

1 Siskin PLZ
Chattanooga, TN 37403-1306
Phone (423) 803-2226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as group
Quality
85
Promoting interoperability
79
Improvement activities
40
Cost
78.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79154GAMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Spine & Rehabilitation PLLC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2016 Accepting new patients
Siskin Hospital for Physical Rehabilitation Past Accepting new patients
East Carolina University Past Accepting new patients
Chattanooga Rehabilitation Associates, PC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1 Siskin Plz
#101
Chattanooga, TN 37403
Phone (423) 634-1375

1 Siskin Plz
Ste 101
Chattanooga, TN 37403
Phone (423) 803-2226

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.

Hospital & facility affiliations 10

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1982697876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-803-2226",
            "fax_number": "423-803-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-803-2226",
            "fax_number": "423-803-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "ERWIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "200301260",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "GA",
            "license": "79154",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "TN",
            "license": "54591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982697876",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "135CT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00111583",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.