ELIZABETH R MANZO (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1912050857

ELIZABETH R MANZO (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 244385 (MA). The NPI Number for ELIZABETH R MANZO (MD) is 1912050857

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH R MANZO (MD)
NPI
1912050857
Phone
(508) 334-4830
Address
55 Lake Ave N
Enumeration Date
22 January 2007
Last Update Date
4 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013218101
Graduation Year
2005 (21 years ago)
PAC ID
9234255167
Group Practice PAC ID
1557613437
Professional Enrollment ID
I20190613001416
Address ID
RI028937554WE1350XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for ELIZABETH R MANZO (MD)

  • 55 Lake Ave N

    Worcester, MA 016550002

    Phone: (508) 334-4830

    Fax: (774) 441-6710

    Type: Location

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-8105

    Type: Mailing

  • 101, Ellenfield Street, Providence, Providence County, Rhode Island, 02905, United States

    PROVIDENCE, RI 029054541

    Phone: (401) 444-6779

    Fax: (401) 444-6912

    Type: Mailing

  • Newport Hospital, 11, Friendship Street, Ward 2, Newport, Newport County, Rhode Island, 02840, United States

    NEWPORT, RI 028402209

    Phone: (401) 845-1281

    Fax: (401) 845-1026

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100928000890ICritical Care (Intensivists)MATBD
I20190613001416IInternal MedicineRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01655)

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Provider's Procedures

ELIZABETH R MANZO (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)MA36556Insertion of central venous catheter for infusion, patient 5 years or older1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557613437View full group profile
NameSpecialtyState
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

How is ELIZABETH R MANZO (MD) identified in CMS data?
CMS-hosted NPPES data lists ELIZABETH R MANZO (MD) with NPI 1912050857.
Does CMS list ELIZABETH R MANZO (MD) as active?
Yes — ELIZABETH R MANZO (MD) is active in the NPI listing used on this page.
What is ELIZABETH R MANZO (MD)'s specialty?
The listing groups ELIZABETH R MANZO (MD) with Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ELIZABETH R MANZO (MD) on a map?
Expect Worcester, Massachusetts as a primary anchor for ELIZABETH R MANZO (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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