Audrey N Mangwiro, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M4318 Issued in TX

Practice address

700 E Marshall Ave
Longview, TX 75601-5580

Phone

(903) 315-1488

Fax

(903) 315-1656

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, MN2 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 2

Specialty

Internal MedicineAlso: Emergency Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

AIDS Arms, Inc.Group PAC ID 7719940774, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morris Infinite Healthcare Services Incorporated Hospice, Dallas, TX, CCN 741608

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: audrey.mangwiro.1@29669.direct.athenahealth.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.

• AIDS Arms, Inc.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1609852813

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Hni Medical Services

  • Hospitalist Physician
  • Austin, TX
  • NPI 1366735169

  Internal Medicine

  Medicare reassignment NPD
• Hospital Medicine Services of TX, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1881392363
  Medicare reassignment NPD
• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429

  Emergency Medicine

  Medicare reassignment NPD
• MCH Professional Care Hospital Based

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1447547773

  Hospitalist

  Medicare reassignment NPD
• MMH Physicians

  • Hospitalist Physician
  • Midland, TX
  • NPI 1851764963
  Medicare reassignment NPD
• WH Services Austin LLC

  • Hospitalist Physician
  • Austin, TX
  • NPI 1346950946
  Medicare reassignment NPD
• AIDS Arms, Inc.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1841986999
  NPD
• Kindred Care LLC

  • In Home Supportive Care Agency
  • Aubrey, TX
  • NPI 1508536079
  NPD
• The Duluth Clinic LTD

  • Multi-Specialty Clinic/Center
  • Cloquet, MN
  • NPI 1902563638
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Morris Infinite Healthcare Services Incorporated

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1730522483
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1346265162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2701",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062701",
            "telephone_number": "903-315-1488",
            "fax_number": "903-315-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015580",
            "telephone_number": "903-315-1488",
            "fax_number": "903-315-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGWIRO",
        "first_name": "AUDREY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M4318",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "15590R",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "74111",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476510",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David W Maly, CRNA
• Soumya Mamidi
• Edgar Ryan Mancilla
• Geeta Gyaneshwari Mandavilli
• Venkata Amarendra Mangalagiri, MD
• Suganya Manivannan, MD
• Jodie Manley, M.S., CCC-SLP
• Darvy Lee Mann, MD
• True Sandlin Mann, PH.D
• Athena Lynn Manning, LPC

• Internal Medicine Physician in Longview, TX
• Providers in Longview, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.
• 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.