MANZANO MEDICAL GROUP, P.C.
NPI 1881704096
Physical Medicine & Rehabilitation in Albuquerque, NM

Active since August 30, 2006CLIA 32D2016118 · Waiver
505 ELM ST NE, ALBUQUERQUE, NM 87102(505) 727-4919(505) 727-4915 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Manzano Medical Group, P.c. NPPES

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

MANZANO MEDICAL GROUP, P.C. (NPI 1881704096) is a healthcare organization registered as a physical medicine & rehabilitation in Albuquerque, New Mexico and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists John Henry Sloan, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1881704096
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameMANZANO MEDICAL GROUP, P.C.
Location Address505 ELM ST NEAlbuquerque, NM 87102-2500
Mailing AddressPo Box 25701Albuquerque, NM 87125-0701 · (505) 727-4919 · Fax (505) 727-4915
Fax(505) 727-4915
Organization SubpartNo
Authorized OfficialJohn Henry SloanCeo/president · (505) 727-4919
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881704096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
505 ELM ST NE, Albuquerque, NM 87102

Other Identifiers 1

MedicaidA5074NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manzano Medical Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Manzano Medical Group, P.C., which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Medicine and Rehabilitation
NPI 1922117019
505 ELM ST NE
Albuquerque, NM 87102
(505) 727-4919
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Medicine and Rehabilitation
NPI 1376988535
2211 LOMAS BLVD NE
Albuquerque, NM 87106
(505) 272-1111
✔ PECOS✔ Accepts Medicare1.1 mi
General Practice
NPI 1689803827
UNM DEPARTMENT OF ORTHOPAEDICS AND 1 UNIVERSITY OF NEW MEXICO
Albuquerque, NM 87131
(505) 272-6444
✔ PECOS✔ Accepts Medicare1.3 mi
Interventional Pain Management
NPI 1780002220
1540 JUAN TABO BLVD NE STE A
Albuquerque, NM 87112
(505) 529-8511
✔ PECOS✔ Accepts Medicare7.0 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2016118

Manzano Medical Group · Albuquerque, NM
Active · expires Nov 9, 2026
CLIA Number32D2016118
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorJohn H. Sloan
Laboratory Phone(505) 727-4919
Laboratory LocationManzano Medical Group505 Elm Street NE, Albuquerque, NM 87102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Manzano Medical Group, P.C.'s NPI number?

The NPI number for Manzano Medical Group, P.C. is 1881704096. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Manzano Medical Group, P.C. located?

Manzano Medical Group, P.C. is located at 505 Elm St NE, Albuquerque, NM 87102. The listed phone number is (505) 727-4919.

What is Manzano Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Manzano Medical Group, P.C. enrolled in Medicare?

Yes. Manzano Medical Group, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manzano Medical Group, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Manzano Medical Group, P.C., in General Practice, Interventional Pain Management and Physical Medicine and Rehabilitation. A 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 the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Manzano Medical Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2016118) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manzano Medical Group, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.