Active NPI
Amrit Mangat, M.D.
- Surgery Physician
- Glen Ellyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036-102386
- Practice address
- 430 Pennsylvania Ave
Suite 350
Glen Ellyn, IL 60137-4464 - Phone
- (630) 790-1700
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036-102386 | IL | Primary |
Addresses
Primary practice location
430 Pennsylvania Ave
Suite 350
Glen Ellyn, IL 60137-4464
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036102386 | Medicaid | IL | |
| P00749996 | Other | IL | RR MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200
Hospital & facility affiliations
- Edward Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-102386 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| L.E. McNeill, MD SC | Past | Accepting new patients | |
| DMG Surgical Center LLC | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
430 Pennsylvania Ave
Ste 350
Glen Ellyn, IL 60137
Phone (630) 545-7660
430 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 545-7576
430 Warrenville Rd
Ste 310
Lisle, IL 60532
Phone (630) 548-0408
2725 Technology Dr
Lombard, IL 60148
Phone (630) 348-3300
Interoperability endpoints
- amangat1418@dulyhealthandcare.direct-ci.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Ambulatory Surgical Clinic/Center
- Lombard, IL
- NPI 1710924899
-
- Allergy & Immunology Physician
- Charleston, IL
- NPI 1497942791
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1053455386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 PENNSYLVANIA AVE",
"address_2": "SUITE 350",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374464",
"telephone_number": "630-790-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGAT",
"first_name": "AMRIT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-102386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102386",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00749996",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.