KENNETH MANISCALCO JR. MD
NPI 1275929036
Emergency Medicine in Shreveport, LA

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
1501 KINGS HWY, EM, SHREVEPORT, LA 71103(318) 675-6632 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Maniscalco Jr. Md NPPES

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

KENNETH MANISCALCO JR. MD (NPI 1275929036) is an individual emergency medicine provider in Shreveport, Louisiana, licensed in Tennessee (57631) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2018).

NPPES Registry Identity

NPI1275929036
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH MANISCALCO JR.Credential: MD
Location Address1501 KINGS HWY, EMShreveport, LA 71103
Mailing Address1501 Kings Hwy, EmShreveport, LA 71103-4228 · (318) 675-6632
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2018
Enumeration DateApril 8, 2015
Last NPPES UpdateJuly 9, 2018
NPI 1275929036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TN · 57631
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1501 KINGS HWY, Shreveport, LA 71103

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

Kenneth Maniscalco Jr. 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 ID7416255807
PECOS Enrollment IDI20180907002720
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
298 services289 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
98 services94 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103

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 Kenneth Maniscalco's NPI number?

The NPI number for Kenneth Maniscalco is 1275929036. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Kenneth Maniscalco located?

Kenneth Maniscalco practices at 1501 Kings Hwy Em, Shreveport, LA 71103. The listed phone number is (318) 675-6632.

What is Kenneth Maniscalco's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Maniscalco enrolled in Medicare?

Yes. Kenneth Maniscalco 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.

Is Kenneth Maniscalco affiliated with any hospitals?

According to CMS data, Kenneth Maniscalco is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Maniscalco was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.