Active NPI
Mangaladevi Patil, M.D.
- Vascular & Interventional Radiology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD19339
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (404) 727-5658
- NPI assigned
- Apr 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 1017069 | MA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD19339 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2500
Other practice location 1
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
Other practice location 2
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Warren Alpert Medical School of Brown University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rhode Island Medical Imaging Inc
Practice addresses (Care Compare)
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 444-6966
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Hospital & facility affiliations
- Rhode Island Hospital
- Kent County Memorial Hospital
- Newport Hospital
- The Miriam Hospital
- Landmark Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.17 of 100
- Quality
- 82.44
- Improvement activities
- 40
- Cost
- 86.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Rhode Island Medical Imaging Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
| Rhode Island Medical Imaging Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
| Affinity Physicians LLC | Current | Accepting new patients |
Locations
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
593 Eddy St
Providence, RI 02903
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
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.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
Vascular & Interventional Radiology
-
- Diagnostic Radiology Physician
- Providence, RI
- NPI 1942376033
MA, Vascular & Interventional Radiology
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Woonsocket, RI
- NPI 1699752923
-
- Psychiatric Hospital Unit
- Woonsocket, RI
- NPI 1396722666
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1255865309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 METRO CENTER BLVD STE 2000",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861785",
"telephone_number": "401-432-2500",
"fax_number": "401-889-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "404-727-5658"
}
],
"practiceLocations": [
{
"address_1": "211 Park St",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027033143",
"country_code": "US",
"telephone_number": "508-222-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATIL",
"first_name": "MANGALADEVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-15",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MA",
"license": "1017069",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "RI",
"license": "MD19339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.