MARIAN FLORES MANANKIL MD
NPI 1124276951
Internal Medicine - Cardiovascular Disease in Gadsden, AL

Q: What is Marian Manankil's NPI number?

The NPI number for Marian Manankil is 1124276951. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Q: What is Marian Manankil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Marian Manankil was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 September 04, 2008PECOS EnrolledAccepts Medicare Assignment

79.89/100

CMS Quality Rating

510 S 4TH ST, GADSDEN, AL 35901(256) 438-5008(256) 467-4009 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2022, Mar 17, 2018, Aug 15, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Marian Flores Manankil Md NPPES

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

MARIAN FLORES MANANKIL MD (NPI 1124276951) is an individual cardiovascular disease provider in Gadsden, Alabama, licensed in Alabama (MD.31385) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gadsden, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1124276951

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameMARIAN FLORES MANANKILCredential: MD

Location Address510 S 4TH STGadsden, AL 35901-5217

Mailing Address510 S 4th StGadsden, AL 35901-5217 · (256) 438-5008 · Fax (256) 467-4009

Phone(256) 438-5008

Fax(256) 467-4009

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 4, 2008

Last NPPES UpdateMarch 3, 20224 updates tracked since enumeration

NPPES CertifiedMarch 3, 2022

✔ NPI 1124276951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in AL · MD.31385

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License MD31385 (AL)

510 S 4TH ST, Gadsden, AL 35901

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Secondary Practice Location 1

Location 1303 Bay St Ste 403Gadsden, AL 35901-5203 · Phone (256) 438-5008 · Fax (256) 438-4009

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marian Flores Manankil Md 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 ID446409569

PECOS Enrollment IDI20121005000208

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.

Medicare Billing Reassignments

Medicare enrollment records show Marian Manankil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrated Medical Clinic LLC

Same address

Family Medicine

510 S 4TH ST
Gadsden, AL 35901

Reassigned Medicare billing, Alabama enrollment
2 clinicians in this Medicare group

NPI 1093237125 (256) 438-5008

Prime Healthcare Services-Gadsden Physician Management LLC

1.0 mi

Family Medicine

303 BAY ST STE 401
Gadsden, AL 35901

Reassigned Medicare billing, Alabama enrollment
124 clinicians in this Medicare group

NPI 1356731467 (256) 467-4731

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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 only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,268 services891 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

445 services151 patients

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.

374 services167 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

336 services149 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

116 services66 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

93 services87 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

91 services79 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

90 services84 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

83 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

66 services47 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

50 services25 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

38 services38 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

38 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

21 services21 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

14 services13 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

13 services13 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

79.89/100

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

Scored as part of a group practice

Quality

73.09

Promoting Interoperability

100

Improvement Activities

Cost

56.19

Other Providers at the Same Location NPPES 3

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

INTEGRATED MEDICAL CLINIC LLC

Family Medicine

510 S 4TH ST
GADSDEN, AL 35901

Etowah County (256) 438-5008

DR. KARL PETER MAXINO UY M.D.

Family Medicine

510 S 4TH ST
GADSDEN, AL 35901

Etowah County (256) 438-5008

SUSAN RIKANSRUD

Home Health

510 S 4TH ST
GADSDEN, AL 35901

Etowah County (256) 543-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marian Manankil's NPI number?

The NPI number for Marian Manankil is 1124276951. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Marian Manankil located?

Marian Manankil practices at 510 S 4th St, Gadsden, AL 35901. The listed phone number is (256) 438-5008.

What is Marian Manankil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Marian Manankil enrolled in Medicare?

Yes. Marian Manankil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marian Manankil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marian Manankil reassigns Medicare benefits to 2 organizations: Integrated Medical Clinic LLC (Gadsden, AL) and Prime Healthcare Services-Gadsden Physician Management LLC (Gadsden, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marian Manankil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marian Manankil accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Marian Manankil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marian Manankil was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.