Puja Mangukiya, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

93372 Issued in GA

Practice address

4850 Sugarloaf Pkwy Ste 101
Lawrenceville, GA 30044-2860

Phone

(678) 490-8300

NPI assigned

Jul 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: puja.mangukiya@168064768409604.direct.elationemr.com

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.

• Iora Health Massachusetts, P.C.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1851858666
  NPD (past)
• Iora Health, LLC

  • Internal Medicine Physician
  • Hanover, NH
  • NPI 1700285616
  NPD (past)

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265919328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINCOLN ST FL 24",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442860",
            "telephone_number": "678-490-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUKIYA",
        "first_name": "PUJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "311711",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "93372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE NY STATE LISCENSE",
            "identifier": "311711",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Mandelkow, DPT
• Mandip Medipsych Health Services
• Srinand Mandyam, MD
• Manekar Medical Clinic PA
• Monica Mangram
• Asherah S Manley
• Manna Scholarship Fund
• Kamilah Manohar, RBT
• R Leigh Mansfield, DNP, AGACNP
• Mansouri Dental Care PC

• Internal Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.