David Mandelblum, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0073551 Issued in FL

Practice address

3255 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-5854

Phone

(561) 964-4577

Fax

(561) 964-7772

NPI assigned

Sep 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Soma Medical Center, PAGroup PAC ID 2062420227, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
• FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

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.

• Soma Medical Center, PA

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1467499038
  Medicare reassignment Care Compare group NPD
• Soma Medical Center, PA

  • Internal Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1538805965
  NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1093807752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 FOREST HILL BLVD",
            "address_2": "SUITE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065854",
            "telephone_number": "561-964-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 FOREST HILL BLVD STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065854",
            "telephone_number": "561-964-4577",
            "fax_number": "561-964-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELBLUM",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008445500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Mallen
• Jennifer Aide Malloy, L.AC
• Jean Renold Maltheus, SA-C
• Michele Mammino
• Lauren Mindy Manaker, MS, RDN, LD
• Brian Craig Mandelstein, D.C.
• Deepak Mandi, M.D.
• Regina Louise Manes, O.D.
• Roman Manevich
• Mangonia Detox Partners, LLC

• Internal Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.