Active NPI
Joshua Lee Manghelli, D.O.
- Surgical Oncology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 02006817A
- Practice address
- 7120 Clearvista Dr Ste 3200
Indianapolis, IN 46256-1782 - Phone
- (317) 621-7780
- NPI assigned
- Jun 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 02006817A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11018189A | IN | |
| Surgical Oncology Physician | 2086X0206X | 02006817A | IN | Primary |
Addresses
Primary practice location
7120 Clearvista Dr Ste 3200
Indianapolis, IN 46256-1782
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
1030 W Michigan St
Indianapolis, IN 46202-5201
Phone (317) 944-9800
Other practice location 2
545 Barnhill Dr
Emerson Hall 202
Indianapolis, IN 46202-5112
Phone (317) 274-4966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300064880 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmanghelli@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7120 Clearvista Dr
Suite 3200
Indianapolis, IN 46256-1782
Phone (317) 621-7780
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000
Hospital & facility affiliations
- Community Howard Regional Health Inc.
- Community Hospital North
- Community Hospital East
- Dukes Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 27 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02006817A | IN | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physician Network Specialty Care LLC | Surgical Oncology | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| University Surgeons, Inc. | Surgery | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
5918 Reliable Pkwy
Chicago, IL 60686
7630 Solutions Ctr
Chicago, IL 60677
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
1030 W Michigan St
Indianapolis, IN 46202
Phone (317) 944-0920
7120 Clearvista Dr
Ste 3200
Indianapolis, IN 46256
Phone (317) 621-7780
545 Barnhill Dr
#202
Indianapolis, IN 46202
Phone (317) 274-4966
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
3425 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-8052
Interoperability endpoints
- jmanghelli14019@direct.eskenazihealth.edu
- jmanghelli@direct.iuhealth.org
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1588535496
Surgical Oncology
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Surgery Physician
- Indianapolis, IN
- NPI 1316966229
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- Critical Access Hospital
- Peru, IN
- NPI 1619920949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1356721567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 CLEARVISTA DR STE 3200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561782",
"telephone_number": "317-621-7780"
}
],
"practiceLocations": [
{
"address_1": "1030 W Michigan St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025201",
"country_code": "US",
"telephone_number": "317-944-9800",
"fax_number": "317-944-9800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "545 Barnhill Dr",
"address_2": "Emerson Hall 202",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025112",
"country_code": "US",
"telephone_number": "317-274-4966",
"fax_number": "317-274-8769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGHELLI",
"first_name": "JOSHUA",
"middle_name": "LEE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "02006817A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11018189A",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "IN",
"license": "02006817A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300064880",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmanghelli@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1030 W Michigan St",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.