Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Manzanillo

Individual provider Internal Medicine Physician · NPI 1336729078

Daniel Manzanillo is a Hospitalist in Wilmington, Ohio. Qualified in 2012, 14 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

610 Main St
Wilmington, OH 45177
Phone: (937) 283-9985
Fax: (513) 852-8987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 Southern Blvd, Kettering, OH 45429-1221 — (937) 395-6665

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 34.016444 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 34.016444 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336729078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address610 Main Street, Wilmington, OH 45177

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wilmington