Manuel Enrique Portalatin, D.O.
NPI 1710392246ActiveIndividual· Surgery· Providence, RI
Surgery (D.O.) with Lifespan Physician Group Inc, practicing in Providence, Rhode Island. Mostly services rather than prescriptions: Medicare paid $67,261 for 174 patients in 2024, with only 15 Part D claims. Avita Medical Americas, LLC was the largest of 3 companies reporting payments in 2025, $857.29 in all, mostly food and beverage. Lists Loyola University Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1710392246 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jun 23, 2014 |
| Last updated in NPPES | Jul 31, 2026 |
| Certified by provider | Jul 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | DO01505 | RI |
| Surgery, Surgical Critical Care | 2086S0102X | DO01505 | RI |
| Surgery | 208600000X | 282996 | MA |
| Surgery, Surgical Critical Care | 2086S0102X | 282996 | MA |
| Surgery | 208600000X | 036156256 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (IL); Practitioner - General Surgery (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 174 |
|---|---|
| Services billed | 792 across 46 procedure codes |
| Paid by Medicare | $67,261 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 16 30-day fills |
|---|---|
| Total drug cost | $83.06 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | General Surgery |
| Secondary specialties | Critical Care (Intensivists) |
Medical group
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
Hospital affiliations
- Loyola University Medical CenterMaywood, IL
- Rhode Island HospitalProvidence, RI
Other facilities
- Hopehealth Hospice & Palliative CareHospice · Providence, RI
Industry payments (Open Payments)
- 2025$857.29 · 11 payments from 3 companies
- 2024$314.66 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Avita Medical Americas, LLC | $578.09 | 8 |
| Davol Inc. | $218.85 | 2 |
| Ethicon US, LLC | $60.35 | 1 |
What the 2025 payments were for
- Food and Beverage$857.29 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Providence
- 1588805410
- 1174484216
- 1275667842
- 1770620023
- 1518987981
- 1801161484
- 1902133481
- 1376589895
- 1174845606
- 1629538616
- 1689670044
- 1588076558