NPIMap

Individual provider Active NPI

Mark David Mangano, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1386909000
Registry record updated Nov 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
251747 Issued in MA
Practice address
55 Fruit St
FND 216
Boston, MA 02114-2621
Phone
(617) 724-4255
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2013

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 251747 MA
Diagnostic Radiology Physician 2085R0202X 251747 MA Primary

Addresses

Primary practice location

55 Fruit St
FND 216
Boston, MA 02114-2621

Mailing address

55 Fruit St
FND 216
Boston, MA 02114-2621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20180703001189 NH Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9638306889 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Radiological PAGroup PAC ID 3678517133, 11 clinicians
New England Radiological Consortium LLCGroup PAC ID 4789175928, 17 clinicians
Seacoast Interventional Radiology Associates PLLCGroup PAC ID 9032695028, 5 clinicians

Practice addresses (Care Compare)

1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 432-1500

11 Whitehall Rd
Rochester, NH 03867-3226
Phone (603) 332-5211

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (610) 956-0009

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • York Hospital Hospital, York, ME, CCN 200020

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
86.25
Improvement activities
40
Cost
77.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251747MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PLLC Diagnostic Radiology CurrentSince Jul 7, 2018 Accepting new patients
Seacoast Interventional Radiology Associates PLLC CurrentSince Nov 8, 2025 Accepting new patients
Portsmouth Radiological, PA Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Radiology Professionals, PA Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
New England Radiological Consortium, LLC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine Past Accepting new patients

Locations

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385769600000",
    "number": "1386909000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "FND 216",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "FND 216",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANO",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2013-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "251747",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "251747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.