Individual provider Active NPI

Vincent Haralambos Mandas, D.P.M,

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1114389152
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003933 Issued in OH
Practice address
303 E Town St
Columbus, OH 43215-4601
Phone
(614) 788-5000
Fax
(614) 788-5100
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36.003933 OH Primary

Addresses

Primary practice location

303 E Town St
Columbus, OH 43215-4601

Mailing address

PO Box 7527
Columbus, OH 43207-0527
Phone (614) 788-5000

Other practice location 1

285 E State St Ste 670
Medical Education Department
Columbus, OH 43215-4360
Phone (614) 566-9290

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmandas144898@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715003519 OH Practitioner - Podiatry 1759676422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

303 E Town St
Columbus, OH 43215-4601
Phone (614) 533-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of Central Ohio, LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Foot and Ankle Specialists of Central Ohio LLC CurrentSince Nov 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 1, 2024 Accepting new patients
Ohiohealth Corporation Single Specialty CurrentSince Dec 1, 2024 Accepting new patients

Locations

6801 Dixie Hwy
Ste 134
Louisville, KY 40258
Phone (502) 447-4500

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3192 E Livingston Ave
Columbus, OH 43227
Phone (614) 235-2323

285 E State St
Ste 670
Columbus, OH 43215
Phone (614) 566-9290

303 E Town St
Columbus, OH 43215
Phone (614) 788-5000

1045 Beecher Xing N
Ste A
Gahanna, OH 43230
Phone (614) 304-0019

1920 Tamarack Rd
Newark, OH 43055
Phone (614) 755-5151

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1114389152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432070527",
            "telephone_number": "614-788-5000",
            "fax_number": "614-788-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154601",
            "telephone_number": "614-788-5000",
            "fax_number": "614-788-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 E State St Ste 670",
            "address_2": "Medical Education Department",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154360",
            "country_code": "US",
            "telephone_number": "614-566-9290",
            "fax_number": "614-566-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDAS",
        "first_name": "VINCENT",
        "middle_name": "HARALAMBOS",
        "credential": "D.P.M,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmandas144898@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "303 E Town St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.