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

Manuel M Bautista, MD

Individual provider Sleep Medicine (Internal Medicine) Physician · NPI 1093793689

Manuel M Bautista, MD is a Pulmonary Disease in Boardman, Ohio. Qualified in 1993, 33 years ago. Practices with Triad Health Services LLC, a 253-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
33
Licensed in
OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

960 Windham Ct Ste 1
Boardman, OH 44512-5087
Phone: (330) 726-3357
Fax: (330) 726-1465
Show map & directions

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

Additional practice locations (1)

  • 1421 E Market St, Warren, OH 44483-6609 — (330) 726-3357

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 35089622 (OH)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 35089622 (OH)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 35089622 (OH)

Record details

NPI number1093793689
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 4, 2006
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Triad Health Services Llc — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare