Chuck Stephen Mangubat, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24330 Issued in AZ

Practice address

3115 S Price Rd
Chandler, AZ 85248-3544

Phone

(480) 926-0170

Fax

(480) 452-0715

NPI assigned

Feb 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmangubat@direct.uspi.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.

• Pioneer Hospitalists, PLLC

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1033177316
  Medicare reassignment NPD

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1023084464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 S PRICE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483544",
            "telephone_number": "480-926-0170",
            "fax_number": "602-765-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S PRICE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483544",
            "telephone_number": "480-926-0170",
            "fax_number": "480-452-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUBAT",
        "first_name": "CHUCK",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-26",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24330",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "24330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "110237007",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36322604",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mammography Parnters LLC
• Laura Mamook
• Mana Health
• Anna Manalo, MSN FNP-C
• Saisho Mangla, D.O.
• Brittany Maniga, PHARMD
• Manna Assisted Living Home LLC
• Kathleen Manning, PT
• Hana Mansoor, DDS
• Isabella Reyna Manzo

• Internal Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.