LUIS RENE MANRIQUEZ (MD) – Family Medicine Physician, NPI 1174969729

LUIS RENE MANRIQUEZ (MD) is a healthcare provider. based in Spokane, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. PG162924 (OR). The NPI Number for LUIS RENE MANRIQUEZ (MD) is 1174969729

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
LUIS RENE MANRIQUEZ (MD)
NPI
1174969729
Phone
(360) 395-5825
Address
322 W NORTH RIVER DR
Enumeration Date
21 May 2013
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5099358211
Graduation Year
2013 (13 years ago)
PAC ID
2769623297
Group Practice PAC ID
9739249350
Professional Enrollment ID
I20170602002333
Address ID
WA991099523CH500XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for LUIS RENE MANRIQUEZ (MD)

  • 322 W NORTH RIVER DR

    SPOKANE, WA 992013208

    Phone: (360) 395-5825

    Type: Mailing

  • 1001 W 2ND AVE

    SPOKANE, WA 992014503

    Phone: (509) 444-8888

    Type: Location

  • 5901 N LIDGERWOOD ST

    SPOKANE, WA 992085095

    Phone: (509) 444-8200

    Fax: (509) 434-0392

    Type: Location

  • 611 N IRON BRIDGE WAY

    SPOKANE, WA 992024932

    Phone: (509) 444-8888

    Fax: (509) 444-7806

    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: 2017-06-02

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170602002333IFamily PracticeWATBD

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 99201)

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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: 9739249350View full group profile
NameSpecialtyState
Family PracticeID
Family PracticeWA
Family PracticeID
-WA
Family PracticeWA
Family Practice, Emergency MedicineWA
Family PracticeWA
Family PracticeWA
Internal Medicine, Pediatric MedicineWA
Family PracticeWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for LUIS RENE MANRIQUEZ (MD)?
LUIS RENE MANRIQUEZ (MD) — NPI 1174969729 — is the standard way to identify this listing.
Can I rely on LUIS RENE MANRIQUEZ (MD) being an active provider?
As of the registry snapshot, LUIS RENE MANRIQUEZ (MD) is marked active.
What is LUIS RENE MANRIQUEZ (MD)'s specialty?
The listing groups LUIS RENE MANRIQUEZ (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect LUIS RENE MANRIQUEZ (MD) on a map?
Expect Spokane, Washington as a primary anchor for LUIS RENE MANRIQUEZ (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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