NPI Details
Diana M Mancuso, M.D. is a family medicine in Dothan, AL with 50 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Diana M Mancuso, M.D. NPI is 1417971037. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:1976
The provider's business location address is:
4300 W MAIN ST
SUITE 16
DOTHAN, AL
ZIP 36305-054
Phone: (334) 793-4120
Fax: (334) 615-8443
The NPI 1417971037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 01D0304710 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Blood glucose (sugar) level (HCPCS:82947)
- Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Urine microalbumin (protein) analysis (HCPCS:82044)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
- Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Transitional care management services for problem of moderate complexity (HCPCS:99495)
- Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
The enumeration date for this NPI number is 7/27/2006 and was last updated on 9/26/2008.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 4436 | ALABAMA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 000000013 | MEDICAID | ALABAMA | |
| 2 | C72543 | MEDICARE UPIN | ALABAMA | |
| 3 | 000000013 | MEDICARE ID-TYPE UNSPECIFIED | ALABAMA | |