Kyj Roman Mandzy, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

06297 Issued in KY

Practice address

7410 Dixie Hwy
Louisville, KY 40258

Phone

(352) 726-1551

NPI assigned

Mar 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: kyj.mandzy@hca4.eclinicaldirectplus.com

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1063152189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 WOODED TRAIL CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204053",
            "telephone_number": "502-491-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40258",
            "telephone_number": "352-726-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDZY",
        "first_name": "KYJ",
        "middle_name": "ROMAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "06297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anupa Mandava, M.D.
• Lisa M Manderino
• Mandran Health PLLC
• John M Mandrola, MD
• Staci A Mandrola, MD
• Svitlana J Mandzy, M.D.
• Stephanie Manecke
• Erin Lynn Maney
• Richard B Mangan, O.D.
• Lilia Mangelsdorf, APRN

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.