NPIMap

Individual provider Active NPI

Jeffrey S Mandak, M.D.

  • Cardiovascular Disease Physician
  • McConnellsburg, PA
National Provider Identifier
1386645232
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD050576L Issued in PA
Practice address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone
(717) 485-2871
Fax
(717) 485-2830
NPI assigned
Aug 2, 2005
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD050576L PA Primary

Addresses

Primary practice location

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559

Mailing address

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone (717) 485-2871

Other practice location 1

622 Water St
Orbisonia, PA 17243-9424
Phone (717) 485-2871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000654 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Undersea and Hyperbaric Medicine 8224926910 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Undersea and Hyperbaric Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Pinnacle Health Cardiovascular Institute IncGroup PAC ID 6901087006, 117 clinicians
Fulton County Medical CenterGroup PAC ID 6406841295, shared by 6 NPIs, 27 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

360 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 243-6557

622 Water St
FCMC Rehab SVC Hun
Orbisonia, PA 17243-9424
Phone (814) 447-3062

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.96 of 100Reported as individual
Quality
89.63
Promoting interoperability
98
Improvement activities
40
Cost
71.91

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
71.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Medical Center CurrentSince Sep 1, 2012 Accepting new patients
Fulton County Medical Center CurrentSince Sep 1, 2012 Accepting new patients
Fulton County Medical Center CurrentSince Sep 15, 2016 Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

622 Water St
Orbisonia, PA 17243
Phone (814) 447-3062

622 Water St
Ste 1
Orbisonia, PA 17243

Interoperability endpoints

  • Direct secure messaging: jeffreymandak@fcmcpa.medentdirect.com
  • Direct secure messaging: jmandak2051197@upmc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1386645232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-2871",
            "fax_number": "717-485-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD RD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172338559",
            "telephone_number": "717-485-2871",
            "fax_number": "717-485-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Water St",
            "address_purpose": "LOCATION",
            "city": "Orbisonia",
            "state": "PA",
            "postal_code": "172439424",
            "country_code": "US",
            "telephone_number": "717-485-2871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDAK",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD050576L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnellsburg, PA

Sources for this page

Verify at the official NPI Registry.