ROBERT FREDERIC MANOS (DO) – Diagnostic Radiology Physician, NPI 1033679758

ROBERT FREDERIC MANOS (DO) is a healthcare provider. based in Woodbridge, Virginia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 99717 (GA). The NPI Number for ROBERT FREDERIC MANOS (DO) is 1033679758

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT FREDERIC MANOS (DO)
NPI
1033679758
Phone
(703) 523-0611
Address
2300 Opitz Blvd
Enumeration Date
20 March 2019
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2295245217
Graduation Year
2019 (7 years ago)
PAC ID
5698116127
Group Practice PAC ID
7113919820
Professional Enrollment ID
I20240514003997
Address ID
CT060192123CA36XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,529 DIAGNOSTIC RADIOLOGY in VA

Provider Addresses for ROBERT FREDERIC MANOS (DO)

  • 2300 Opitz Blvd

    Woodbridge, VA 221913311

    Phone: (703) 523-0611

    Type: Location

  • Griffin Hospital, 130, Division Street, Derby, New Haven County, Connecticut, 06418-1326, United States

    DERBY, CT 064181326

    Phone: (203) 732-7327

    Type: Mailing

  • 743 Spring St NE

    Gainesville, GA 305013715

    Phone: (770) 219-9000

    Type: Location

  • 11995 Singletree Ln Ste 500

    Eden Prairie, MN 553445349

    Phone: (952) 595-1100

    Fax: (612) 294-4903

    Type: Location

  • 20 YORK ST

    NEW HAVEN, CT 065103220

    Phone: (203) 688-4242

    Type: Mailing

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: 2026-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20240514003997IDiagnostic RadiologyCTTBD
I20240630000073IDiagnostic RadiologyILTBD
I20250626002455IDiagnostic RadiologyMATBD
I20250926004218IDiagnostic RadiologyGATBD
I20260220003443IDiagnostic RadiologySCTBD
I20260224003750IDiagnostic RadiologyIATBD

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 22191)

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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: 7113919820View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMD
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyFL
Emergency Medicine, Internal MedicineGA
-MN
Diagnostic Radiology, Interventional RadiologyGA
Emergency MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify ROBERT FREDERIC MANOS (DO) for billing?
Administrative and clinical systems typically use NPI 1033679758 for ROBERT FREDERIC MANOS (DO).
Should I treat ROBERT FREDERIC MANOS (DO) as an active provider?
Patients and plans typically see ROBERT FREDERIC MANOS (DO) as active in the national extract.
Which specialty label fits ROBERT FREDERIC MANOS (DO)?
NPPES ties ROBERT FREDERIC MANOS (DO) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ROBERT FREDERIC MANOS (DO) tied to Woodbridge, Virginia?
If you are local to Woodbridge, Virginia, ROBERT FREDERIC MANOS (DO) may be relevant to your search.
Who maintains ROBERT FREDERIC MANOS (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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