NPIMap

Individual provider Active NPI

Mandana Davani, M.D.

  • Diagnostic Radiology Physician
  • Saint Augustine, FL
National Provider Identifier
1003883885
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME77783 Issued in FL
Practice address
400 Health Park Blvd
Attn: Radiology Department
Saint Augustine, FL 32086-5784
Phone
(904) 819-4398
Fax
(904) 819-4976
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 321768 NY
Diagnostic Radiology Physician 2085R0202X ME77783 FL Primary

Addresses

Primary practice location

400 Health Park Blvd
Attn: Radiology Department
Saint Augustine, FL 32086-5784

Mailing address

400 Health Park Blvd
Attn: Radiology Department
Saint Augustine, FL 32086-5784
Phone (904) 819-4398

Other identifiers 2

IdentifierTypeStateIssuer
300121884OtherFLRAILROAD MEDICARE
256343600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100827000490 FL Practitioner - Diagnostic Radiology 8325162332
I20240327000328 PA Practitioner - Diagnostic Radiology 8325162332 Reassigns benefits to 1 organization
I20260602001586 NY Practitioner - Diagnostic Radiology 8325162332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Hospital & facility affiliations

  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
321768NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Imaging Partnership - Jax1 LLC CurrentSince May 6, 2025 Accepting new patients
The Medical Imaging Partnership-Jax1 LLC CurrentSince Oct 12, 2023 Accepting new patients
The Medical Imaging Partnership-Jax1 LLC CurrentSince Feb 16, 2024 Accepting new patients
Precision Imaging St. Augustine, LLC CurrentSince Oct 2, 2025 Accepting new patients
Putnam Community Medical Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mdavani880786@direct.ahn.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1003883885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-4398",
            "fax_number": "904-819-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-4398",
            "fax_number": "904-819-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVANI",
        "first_name": "MANDANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "321768",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME77783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300121884",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256343600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.