Individual provider Active NPI

Mario A Lammoglia, M.D.

  • Cardiovascular Disease Physician
  • College Station, TX
National Provider Identifier
1174575104
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K1859 Issued in TX
Practice address
1721 Birmingham Dr
College Station, TX 77845-4082
Phone
(979) 764-1474
Fax
(979) 764-9249
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K1859 TX Primary

Addresses

Primary practice location

1721 Birmingham Dr
College Station, TX 77845-4082

Mailing address

1721 Birmingham Dr
College Station, TX 77845-4082
Phone (979) 764-1474

Other identifiers 1

IdentifierTypeStateIssuer
11353002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20060831000400 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6800890963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Cath Lab of Bryan College Station LPGroup PAC ID 8628296738, 8 clinicians

Practice addresses (Care Compare)

1721 Birmingham Dr
College Station, TX 77845-4082

1721 Birmingham Rd
College Station, TX 77845-4082
Phone (979) 764-1474

3201 University Dr E
Suite 420
Bryan, TX 77802-3479
Phone (979) 485-9922

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.12 of 100Reported as individual
Quality
89.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Cath Lab of Bryan College Station, LP CurrentSince Aug 1, 2014 Accepting new patients
Mario a Lammoglia MD PA Cardiovascular Disease CurrentSince Nov 1, 1996 Accepting new patients

Locations

3201 University Dr E
Ste 420
Bryan, TX 77802
Phone (979) 485-9922

1721 Birmingham Rd
College Station, TX 77845
Phone (979) 695-9540

1721 Birmingham Rd
Fl 1
College Station, TX 77845
Phone (979) 764-1474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1174575104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454082",
            "telephone_number": "979-764-1474",
            "fax_number": "979-764-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454082",
            "telephone_number": "979-764-1474",
            "fax_number": "979-764-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMMOGLIA",
        "first_name": "MARIO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K1859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11353002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.