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

Kenneth Maniscalco Jr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275929036

Kenneth Maniscalco Jr., MD practises Emergency Medicine in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2018, 8 years ago. Practices with Tennessee River Physicians, PLLC, a 65-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
TN
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.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Shreveport, LA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 57631 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275929036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2015
Last updated in NPPESJuly 9, 2018

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2018 (8 years in practice)
Group practice Tennessee River Physicians, Pllc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients390
Services billed 454 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Tennessee River Physicians, PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 65 clinicians in the practice; 12 are shown here.

Other providers in Shreveport