Individual provider Active NPI

Joshua Lee Manghelli, D.O.

  • Surgical Oncology Physician
  • Indianapolis, IN
National Provider Identifier
1356721567
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
02006817A Issued in IN
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

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300064880MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712000773 IN Practitioner - Surgical OncologyPractitioner - General Surgery 3072825322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
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
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Community Physician Network Specialty Care LLCGroup PAC ID 9931697265, 260 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy27
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006817AINMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Sep 18, 2023 Accepting new patients
Community Physician Network Specialty Care LLC Surgical Oncology CurrentSince Dec 5, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 18, 2023 Accepting new patients
University Surgeons, Inc. Surgery CurrentSince Aug 1, 2022 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

  • Direct secure messaging: jmanghelli14019@direct.eskenazihealth.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.