DR. ANDREA RENATE MANZO MD NPI 1669545679

NPI Information

  • NPI: 1669545679
  • Provider Name: DR. ANDREA RENATE MANZO, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1304 FAWCETT AVE STE 100
    TACOMA, WA
    ZIP 98402
  • Phone: (253) 761-4200

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NPI Details

DR. Andrea Renate Manzo, MD is a diagnostic radiology radiology in Tacoma, WA with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Andrea Renate Manzo, MD NPI is 1669545679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402-900
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1669545679 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 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.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of both breasts (HCPCS:77049)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Diagnostic mammography of both breasts (HCPCS:77066)

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/30/2024.

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
12085B0100XRadiologyBody ImagingMD164757OREGONNo
22085B0100XRadiologyBody ImagingMD00043385WASHINGTONNo
32085R0202XRadiologyDiagnostic RadiologyMD164757OREGONNo
42085R0202XRadiologyDiagnostic RadiologyMD00043385WASHINGTONYes

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
1G8878588OTHERWASHINGTONPTAN-CMBC
2184431OTHERWASHINGTONLABOR AND INDUSTRIES/WC UNION AVENUE OPEN
30243528OTHERWASHINGTONLABOR AND INDUSTRIES-CAROL MILGARD BREAST CENTER
43231MAOTHERWASHINGTONREGENCE BLUE SHIELD TRA
5500671257MEDICAIDOREGON
67251MAOTHERWASHINGTONREGENCE BLUE SHIELD UNION AVENUE OPEN
78411456MEDICAIDWASHINGTON
88951848OTHERWASHINGTONLABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
9G8803535OTHERWASHINGTONPTAN-WESTERN STATE HOSPITAL
100249528OTHERWASHINGTONLABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
11184430OTHERWASHINGTONLABOR AND INDUSTRIES/WC TRA
128803056OTHERWASHINGTONMEDICARE PIN TRA KING COUNTY
13P00689845OTHERWASHINGTONRR MEDICARE-CAROL MILGARD BREAST CENTER
148949635OTHERWASHINGTONLABOR AND INDUSTRIES CRIME VICTIMS-CAROL MILGARD BREAST CENTER
15G8882929OTHERWASHINGTONPTAN-MIO1
16G8927637OTHERWASHINGTONPTAN-UAOM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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