Individual provider Active NPI

Ramy Mando, M.D.

  • Cardiovascular Disease Physician
  • Shelby TWP, MI
National Provider Identifier
1346770625
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301504886 Issued in MI
Practice address
49050 Schoenherr Rd.
Suite 100
Shelby TWP, MI 48315-3848
Phone
(586) 566-7870
Fax
(586) 566-7850
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301504886 MI
Cardiovascular Disease Physician 207RC0000X 4301504886 MI Primary

Addresses

Primary practice location

49050 Schoenherr Rd.
Suite 100
Shelby TWP, MI 48315-3848

Mailing address

49050 Schoenherr Rd.
Suite 100
Shelby TWP, MI 48315-3848
Phone (586) 566-7870

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 551-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmando2634436@direct.beaumont.edu

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210809003304 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678842523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Wayne State University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular Associates, PLCGroup PAC ID 8921146291, 7 clinicians

Practice addresses (Care Compare)

49050 Schoenherr Rd
Suite 100
Shelby Township, MI 48315-3848
Phone (586) 566-7870

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Associates, PLC Cardiovascular Disease CurrentSince Jul 10, 2023 Accepting new patients

Locations

49050 Schoenherr Rd
Ste 100
Shelby Township, MI 48315
Phone (586) 532-8700

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: rmando281052@direct.hfhs.org
  • Direct secure messaging: rmando2634436@direct.beaumont.edu

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1346770625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49050 SCHOENHERR RD.",
            "address_2": "SUITE 100",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153848",
            "telephone_number": "586-566-7870",
            "fax_number": "586-566-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49050 SCHOENHERR RD.",
            "address_2": "SUITE 100",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153848",
            "telephone_number": "586-566-7870",
            "fax_number": "586-566-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-551-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDO",
        "first_name": "RAMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-08-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301504886",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301504886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmando2634436@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "468 Cadieux Rd",
            "city": "Grosse Pointe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

Verify at the official NPI Registry.