Vincent Joseph Mandola, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

Q8104 Issued in TX

Practice address

3322 E Walnut St Ste 112
Pearland, TX 77581-4305

Phone

(281) 485-3226

Fax

(281) 485-5520

NPI assigned

May 1, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family PracticeAlso: Sports Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Doc'S Interventional Sports Medicine and Primary Care P.L.L.C.Group PAC ID 9032539531, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Texas Home health agency, Galveston, TX, CCN 679104
• Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008
• Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: docs@docsmedicine.com

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.

• Doc'S Interventional Sports Medicine and Primary Care P.L.L.C.

  • Sports Medicine (Family Medicine) Physician
  • Pearland, TX
  • NPI 1477169076

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Memorial Hermann Medical Group

  • Family Medicine Physician
  • Fulshear, TX
  • NPI 1003985102

  Single Specialty

  Medicare reassignment NPD

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

• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1013948553

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1407959448

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Friendswood, TX
  • NPI 1508896267

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Pearland, TX
  • NPI 1669402335

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1730132234
  Care Compare affiliation
• Texas Home Health Skilled Services, L.P.

  • Home Health Agency
  • Desoto, TX
  • NPI 1801880554
  Care Compare affiliation
• Texas Home Health Skilled Services,LP

  • Home Health Agency
  • Galveston, TX
  • NPI 1659594737
  Care Compare affiliation
• Webster Surgical Specialty Hospital, LLC

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1285699835
  Care Compare affiliation

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1013352251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 E WALNUT ST STE 112",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814305",
            "telephone_number": "281-485-3226",
            "fax_number": "281-485-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 E WALNUT ST STE 112",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814305",
            "telephone_number": "281-485-3226",
            "fax_number": "281-485-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDOLA",
        "first_name": "VINCENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8104",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q8104",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q8104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013352251",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Docs@DocsMedicine.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3322 E Walnut St Ste 112",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775814305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ladonna Rochelle Malone, MED, MA, LPC
• Talia Malone
• Coleen Lizette Malveaux, RPH
• Vineetha Mammen
• Managed Anesthesia Consultants PLLC
• Kennedi Mangol
• Manhattan Dental
• Suma Manjunath, MD
• Mann Eye Center, PA
• Blythe Mansfield, MD, MPH

• Sports Medicine (Family Medicine) Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.