Active NPI
Manfred Henne, MD
- Diagnostic Radiology Physician
- Poulsbo, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00025231
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Pacific Medical Imaging Consultants, Inc | Past | 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.
-
- Diagnostic Radiology Physician
- Federal Way, WA
- NPI 1730156175
-
- Radiologic Technologist
- Poulsbo, WA
- NPI 1518922269
-
- Diagnostic Radiology Physician
- Lakewood, WA
- NPI 1518995646
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.