Individual provider Active NPI

Manfred Henne, MD

  • Diagnostic Radiology Physician
  • Poulsbo, WA
National Provider Identifier
1992768618
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00025231 Issued in WA
Practice address
20700 Bond Rd NE
BLDG B
Poulsbo, WA 98370-9099
Phone
(360) 598-3141
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00025231 WA Primary

Addresses

Primary practice location

20700 Bond Rd NE
BLDG B
Poulsbo, WA 98370-9099

Mailing address

PO Box 1399
Poulsbo, WA 98370-9099
Phone (360) 598-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040414002017 WA Practitioner - Diagnostic Radiology 8325935869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

20700 Bond Rd NE
BLDG B
Poulsbo, WA 98370-9099
Phone (360) 598-3141

33801 1St Way S
Federal Way, WA 98003-6219

463 Tremont St W
Suite 130
Port Orchard, WA 98366-3743
Phone (360) 876-3141

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Jun 21, 2021 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Jun 21, 2021 Accepting new patients
Pacific Medical Imaging Consultants, Inc PastSince Mar 1, 2004 Accepting new patients

Locations

33801 1st Way S
Ste 101
Federal Way, WA 98003
Phone (253) 942-7226

7308 Bridgeport Way W
Ste 101
Lakewood, WA 98499
Phone (253) 682-1666

20700 Bond Rd NE
Bldg B
Poulsbo, WA 98370
Phone (206) 451-4308

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1992768618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1399",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709099",
            "telephone_number": "360-598-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 BOND RD NE",
            "address_2": "BLDG B",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709099",
            "telephone_number": "360-598-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNE",
        "first_name": "MANFRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00025231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

Verify at the official NPI Registry.