KENNETH MANISCALCO JR. MD
NPI 1275929036
Emergency Medicine in Shreveport, LA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Maniscalco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chattanooga, TN 37403
- Reassigned Medicare billing, Tennessee enrollment
- 183 clinicians in this Medicare group
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 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.
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, TNPhysician 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.
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.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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.
Which organization bills Medicare for Kenneth Maniscalco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Maniscalco reassigns Medicare benefits to Tennessee River Physicians, PLLC (Chattanooga, TN). The 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 Kenneth Maniscalco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kenneth Maniscalco Jr., MD · NPI 1275929036
Emergency Medicine physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 8, 2015.
## Identity
- **NPI:** 1275929036 (Entity type: Individual)
- **Enumerated:** April 8, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 57631 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 KINGS HWY, EM, Shreveport, LA 71103
- **Phone:** (318) 675-6632
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tennessee River Physicians, PLLC (NPI 1396282463, Chattanooga, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2018
## Record status
- **NPPES last updated:** July 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1275929036) · Data from the CMS NPPES public registry.