Charles Mango, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

106955 Issued in NY

Practice address

1101 Erie Blvd E
Ste 210
Syracuse, NY 13210-1144

Phone

(315) 218-7591

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Ophthalmology

Education

New York Medical College, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.63 of 100Reported as individual

Quality

71.26

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Central New York Retinal Associates PC

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1083013965
  Medicare reassignment NPD Authorized official
• Ophthalmology Medical Service Group Inc

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1225072051
  Medicare reassignment NPD
• Eye Consultants of Syracuse PC

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1568578920
  NPD (past)
• Eye Consultants of Syracuse PC

  • Durable Medical Equipment & Medical Supplies
  • Fulton, NY
  • NPI 1932892247
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1285637611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ERIE BLVD E STE 210",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101184",
            "telephone_number": "315-218-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ERIE BLVD E",
            "address_2": "STE 210",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101144",
            "telephone_number": "315-218-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGO",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "106955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00550014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kavita Mangat, RPA-C
• Rupinder Mangat
• Simardeep Mangat, MD
• Manisha Mangla
• Carol Lynn Manglos, MA, LCPC, CWHE,
• Amanda Marie Mangold
• Mary F Mangona, LMSW
• Jamie Ann Mangovski, P.A.
• Sonya Mangovski
• Andrea Marie Manis

• Ophthalmology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.

Verify at the official NPI Registry.