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

Dr. Nicholas Mancuso, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154703171

Dr. Nicholas Mancuso, MD is an Emergency Medicine in Lexington, Kentucky. Graduated from University of Kentucky College of Medicine in 2015, 11 years ago. Practices with Emergency Physicians of Tidewater, a 165-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

800 Rose St Rm M-53
Lexington, KY 40536-0293
Phone: (859) 323-5083
Fax: (859) 323-5682
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence R3841 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154703171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2015
Last updated in NPPESJune 27, 2016
Mailing address800 Rose St Rm M-53, Lexington, KY 40536-0293

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Emergency Physicians Of Tidewater — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lexington