MICHAEL A MANFREDI (M.D.) – Pediatric Gastroenterology Physician, NPI 1851362859
Pediatric Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,187 GASTROENTEROLOGY in PA
Provider Addresses for MICHAEL A MANFREDI (M.D.)
10 W PROSPECT AVE
MOORESTOWN, NJ 080573522
Phone: (617) 833-5824
Type: Mailing
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 191044319
Phone: (617) 833-5824
Type: Location
Harvard Vanguard, 147, Milk Street, Dock Square, Financial District, Boston, Suffolk County, Massachusetts, 02110, United States
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON, MA 021094806
Phone: (617) 559-8053
Fax: (617) 421-3487
Type: Mailing
Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States
CHILDREN'S HOSPITAL
BOSTON, MA 021155724
Phone: (617) 355-7953
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $2,464.
Total Amount is formed as General ($2,464) + Research ($0) + Ownership ($0) = $2,464.
Last reported payment date: 2024-11-29 • Largest payer in this snapshot: EvoEndo, Inc ($1,500).
Total Amount
$2,464
General + Research + Ownership
Payments
10
Total payment records
General Amount
$2,464
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EvoEndo, Inc | $1,500 |
| Boston Scientific Corporation | $964 |
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: 2022-12-19
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221219000683 | I | Gastroenterology | PA | TBD |
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.
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 08057)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| N E P H R O L O G Y | PA |
Reviews
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