Organization Active NPI

Ripdeep Mangat MD, P.C.

  • Allergy & Immunology Physician
  • Bend, OR
National Provider Identifier
1275776346
Registry record updated Apr 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD28729 Issued in OR
Legal business name
RIPDEEP MANGAT MD, P.C.
Practice address
1250 NE 3Rd St Ste B100
Bend, OR 97701-3151
Phone
(541) 317-1700
NPI assigned
Apr 19, 2009
Last updated
Apr 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2009

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

Authorized official

Name
Ripdeep Mangat, M.D.NPI 1518069590
Title
President
Phone
(949) 683-4171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X MD28729 OR Primary

Addresses

Primary practice location

1250 NE 3Rd St Ste B100
Bend, OR 97701-3151

Mailing address

1250 NE 3Rd St Ste B100
Bend, OR 97701-3151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000086 OR Part B Supplier - Clinic/Group Practice 9133279151 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

2253 NE Doctors Dr
Bend, OR 97701
Phone (541) 317-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240099200000",
    "number": "1275776346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NE 3RD ST STE B100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NE 3RD ST STE B100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013151",
            "telephone_number": "541-317-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPDEEP MANGAT MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-19",
        "last_updated": "2009-04-19",
        "status": "A",
        "authorized_official_last_name": "MANGAT",
        "authorized_official_first_name": "RIPDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-683-4171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD28729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.