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

Mr. Salvatore Manzella, PA-C

Individual provider Physician Assistant · NPI 1164915203

Mr. Salvatore Manzella, PA-C is a Physician Assistant in Baltimore, Maryland. Qualified in 2018, 8 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
8
Licensed in
MD, VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Orleans St
Baltimore, MD 21287-0010
Phone: (410) 955-6146
Show map & directions

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

Additional practice locations (1)

  • 8700 Sudley Rd, Manassas, VA 20110-4418 — (703) 396-5292

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110006469 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C06998 (MD)

Record details

NPI number1164915203
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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