Individual provider Active NPI

Vipul Mangal, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Oxon Hill, MD
National Provider Identifier
1336305002
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D80998 Issued in MD
Practice address
6710 Oxon Hill Rd Ste 550
Oxon Hill, MD 20745-1117
Phone
(301) 485-7400
NPI assigned
Aug 1, 2008
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101250847 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101250847 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X D80998 MD Primary

Addresses

Primary practice location

6710 Oxon Hill Rd Ste 550
Oxon Hill, MD 20745-1117

Mailing address

11350 McCormick Rd
Executive Plaza 1, Ste. 501
Hunt Valley, MD 21031
Phone (703) 914-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmangal@spineandpain.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130806000813 VA Practitioner - AnesthesiologyPractitioner - Pain Management 1254573124 Reassigns benefits to 2 organizations
I20131008000983 DC Practitioner - AnesthesiologyPractitioner - Pain Management 1254573124 Reassigns benefits to 2 organizations
I20170721000933 MD Practitioner - Interventional Pain Management 1254573124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14201 Park Ctr Dr
Suite 410
Laurel, MD 20707-5251
Phone (301) 498-0383

2296 Opitz Blvd
Suite 520
Woodbridge, VA 22191-3348
Phone (571) 774-9120

610 Professional Dr
Suite 270
Gaithersburg, MD 20879-3461
Phone (301) 926-0200

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion56
Laminectomy or laminotomy (partial removal of spine bones)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D80998MDMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince May 22, 2024 Accepting new patients
NSPC Surgery Center of Maryland LLC Current Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Jul 1, 2024 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince May 22, 2024 Accepting new patients
Up Orthopedics LLC Past Accepting new patients
Caremed Urgent Care LLC PastSince Jul 30, 2014 Accepting new patients
Advanced Spine and Pain PLLC Past Accepting new patients
Advanced Spine and Pain Centers, PLLC PastSince May 24, 2017 Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

610 Professional Dr
Ste 270
Gaithersburg, MD 20879
Phone (240) 808-8482

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

5 N La Plata Ct
Ste 203
La Plata, MD 20646
Phone (240) 307-4700

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

493 Blackwell Rd
Ste 316
Warrenton, VA 20186
Phone (540) 341-1900

2296 Opitz Blvd
Ste 520
Woodbridge, VA 22191
Phone (571) 479-2725

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1336305002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, STE. 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "703-914-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD STE 550",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451117",
            "telephone_number": "301-485-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAL",
        "first_name": "VIPUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101250847",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101250847",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D80998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmangal@spineandpain.emadirect.md",
            "affiliation": "N",
            "address_1": "6710 Oxon Hill Rd Ste 550",
            "city": "Oxon Hill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207451117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.