MELISSA MANZUK PA
NPI 1053623686
Physician Assistant - Surgical in Chicago, IL

Q: What is Melissa Manzuk's NPI number?

The NPI number for Melissa Manzuk is 1053623686. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Q: What is Melissa Manzuk's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Manzuk was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2010PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

3134 N CLARK ST, CHICAGO, IL 60657(770) 880-9722 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Mar 24, 2026, Jun 19, 2024 and 2 more (5 updates tracked since 2022).

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About Melissa Manzuk Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA MANZUK PA (NPI 1053623686) is an individual surgical provider in Chicago, Illinois, licensed in Illinois (085003751) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053623686

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMELISSA MANZUKCredential: PA

Location Address3134 N CLARK STChicago, IL 60657-4414

Mailing Address3134 N Clark StChicago, IL 60657-4414 · (770) 880-9722

Phone(770) 880-9722

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 12, 2010

Last NPPES UpdateMay 4, 20265 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1053623686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085003751

Also ListedPhysician AssistantTaxonomy 363A00000X · License 5334 (WI), 085-003751 (IL)

3134 N CLARK ST, Chicago, IL 60657

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Secondary Practice Locations 2

Location 16434 W North AveChicago, IL 60707-4030 · Phone (773) 880-9722

Location 21000 Central St Ste 730Evanston, IL 60201-1779 · Phone (847) 570-2868

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melissa Manzuk Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587851407

PECOS Enrollment IDI20101203001290

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SORIN C DANCIU M.D.

Internal Medicine (Cardiovascular Disease)