MIA L MANABAT (D.O.) – Gastroenterology Physician, NPI 1336408905

MIA L MANABAT (D.O.) is a healthcare provider. based in West allis, Wisconsin. specializing in GASTROENTEROLOGY. They hold the professional credentials D.O.. They hold a License No. 69852-21 (WI). The NPI Number for MIA L MANABAT (D.O.) is 1336408905

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MIA L MANABAT (D.O.)
NPI
1336408905
Phone
(414) 328-8750
Address
2424 S 90TH ST STE 300
Enumeration Date
16 May 2012
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
4142466800
Graduation Year
2012 (14 years ago)
PAC ID
1456641406
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20180905000532
Address ID
WI532283477GR9000XLNXX400

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
mmanabat203662@direct.myadvocateaurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

382 GASTROENTEROLOGY in WI

Provider Addresses for MIA L MANABAT (D.O.)

  • 2424 S 90TH ST STE 300

    WEST ALLIS, WI 532272455

    Phone: (414) 328-8750

    Fax: (586) 582-6631

    Type: Mailing

  • PO BOX 735044

    CHICAGO, IL 606735044

    Phone: (800) 326-2250

    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: 2018-09-05

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
I20180905000532IGastroenterologyWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7250$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6868$0
45380Biopsy of large bowel using a flexible endoscope5656$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5046$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5048$0
View full utilization report →

Insurance plans in this area (ZIP 53227)

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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: 6709794258View full group profile

Reviews

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Frequently asked questions

What is the registry number for MIA L MANABAT (D.O.)?
The registry entry for MIA L MANABAT (D.O.) shows NPI 1336408905.
Does the public listing show MIA L MANABAT (D.O.) as active?
MIA L MANABAT (D.O.)'s NPI record reflects an active status in NPPES.
How should patients interpret MIA L MANABAT (D.O.)'s specialty?
The extract shows Gastroenterology Physician for MIA L MANABAT (D.O.). Clinical services aligned with this taxonomy classification.
Which community is linked to MIA L MANABAT (D.O.)?
MIA L MANABAT (D.O.) shows a connection to West Allis, Wisconsin in registry-derived data.
Can I export MIA L MANABAT (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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