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

Nicholas Tetsuya Manasewitsch, MD

Individual provider Diagnostic Radiology Physician · NPI 1518543503

Nicholas Tetsuya Manasewitsch, MD is a Diagnostic Radiology in Edina, Minnesota. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Illinois and Washington.

Years since qualifying
5
Licensed in
IL, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD61583746 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036177592 (IL)

Record details

NPI number1518543503
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2021
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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