Individual provider Active NPI

Raul N. Mandler, M.D.

  • Neurology Physician
  • North Bethesda, MD
National Provider Identifier
1366576803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0055311 Issued in MD
Practice address
6000 Executive Blvd
North Bethesda, MD 20852-3803
Phone
(240) 395-2380
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0055311 MD Primary
Neurology Physician 2084N0400X 14957 DC

Addresses

Primary practice location

6000 Executive Blvd
North Bethesda, MD 20852-3803

Mailing address

PO Box 298
Cabin John, MD 20818-0298
Phone (202) 550-6601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20081105000109 DC Practitioner - Neurology 3476612516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6000 Executive Blvd
Suite 603
North Bethesda, MD 20852-3818
Phone (202) 550-6601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14957DCMDNeurology Physician
D0055311MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raul N Mandler, MD, LLC Neurology CurrentSince Nov 3, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6000 Executive Blvd
Ste 603
Rockville, MD 20852
Phone (202) 550-6601

6000 Executive Blvd
Ste 510
Rockville, MD 20852
Phone (301) 770-7900

6000 Executive Blvd
Rockville, MD 20852
Phone (240) 314-7080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366576803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208180298",
            "telephone_number": "202-550-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "240-395-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDLER",
        "first_name": "RAUL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0055311",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "14957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

Verify at the official NPI Registry.