Individual provider Active NPI

Howard Sheldon Mangurten, MD

  • Internal Medicine Physician
  • Hoffman Estates, IL
National Provider Identifier
1003990870
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
990 Grand Canyon Parkway
Suite 310
Hoffman Estates, IL 60169
Phone
(847) 884-8420
Fax
(847) 884-0198
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

990 Grand Canyon Parkway
Suite 310
Hoffman Estates, IL 60169

Mailing address

990 Grand Canyon Parkway
Suite 310
Hoffman Estates, IL 60169
Phone (847) 884-8420

Other identifiers 1

IdentifierTypeStateIssuer
31603504OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070529000313 IL Practitioner - Internal Medicine 5395842207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard S Mangurten MDSCGroup PAC ID 5294832101, 2 clinicians

Practice addresses (Care Compare)

990 Grand Canyon Pkwy
Suite 310
Hoffman Estates, IL 60169-1736
Phone (847) 884-8420

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Howard S Mangurten MDSC Internal Medicine CurrentSince Jan 1, 1978 Accepting new patients

Locations

990 Grand Canyon Pkwy
Ste 310
Hoffman Estates, IL 60169
Phone (847) 884-8420

Networks

  • IL HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL PPO Downstate
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEHHBD/Endpoint/FEHHBD

Organizations & group practices 1

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 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1003990870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 GRAND CANYON PARKWAY",
            "address_2": "SUITE 310",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-884-8420",
            "fax_number": "847-884-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 GRAND CANYON PARKWAY",
            "address_2": "SUITE 310",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-884-8420",
            "fax_number": "847-884-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGURTEN",
        "first_name": "HOWARD",
        "middle_name": "SHELDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31603504",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.