Individual provider Active NPI

Gregory Scott Mangen, DO

  • Hospitalist Physician
  • Kettering, OH
National Provider Identifier
1386856581
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
34.008862 Issued in OH
Practice address
3535 Southern Blvd
Kettering, OH 45429-1221
Phone
(937) 395-6665
Fax
(937) 395-6668
NPI assigned
May 3, 2007
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 34.008862 OH
Hospitalist Physician 208M00000X 34.008862 OH Primary

Addresses

Primary practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115

Other practice location 1

793 W State St
Room 3N09
Columbus, OH 43222-1551
Phone (614) 234-3824

Other identifiers 1

IdentifierTypeStateIssuer
2769133MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gmangen183172@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070917000036 OH Practitioner - HospitalistPractitioner - Internal Medicine 9931293321 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
NW Ohio Hospital Medicine Physicians LLCGroup PAC ID 5092169375, 55 clinicians

Practice addresses (Care Compare)

1430 Columbus Ave
Washington Court House, OH 43160-1703
Phone (740) 335-1210

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (844) 270-6621

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Jul 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Apr 27, 2023 Accepting new patients
Knox Community Hospital CurrentSince Apr 21, 2018 Accepting new patients
Knox Community Hospital Current Accepting new patients
Knox Community Hospital CurrentSince Apr 21, 2018 Accepting new patients
Knox Community Hospital Current Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2020 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Kettering Independent Medical Group Inc Internal Medicine CurrentSince Dec 29, 2022 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Feb 5, 2020 Accepting new patients
Knox Community Hospital Current Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Internal Medicine CurrentSince Aug 8, 2025 Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients
Adena Health System Past Accepting new patients
Mount Carmel Health System Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

75 Hospital Dr
Ste 170
Athens, OH 45701
Phone (740) 331-7111

75 Hospital Dr
Ste 310
Athens, OH 45701
Phone (740) 594-6100

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

793 W State St
Rm 3N9
Columbus, OH 43222
Phone (614) 234-3824

Dept L3652
Columbus, OH 43260

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1386856581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-395-6665",
            "fax_number": "937-395-6668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "793 W State St",
            "address_2": "Room 3N09",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221551",
            "country_code": "US",
            "telephone_number": "614-234-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGEN",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.008862",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34.008862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2769133",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmangen183172@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3535 Southern Blvd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3535 Southern Blvd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.