Individual provider Active NPI

Amardeep S Mann, M.D.

  • Cardiovascular Disease Physician
  • Pasco, WA
National Provider Identifier
1396715181
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD60763281 Issued in WA
Practice address
520 N 4TH Ave
Pasco, WA 99301-5257
Phone
(509) 416-8882
Fax
(509) 542-3059
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD203935 OR
Cardiovascular Disease Physician 207RC0000X MD60763281 WA Primary

Addresses

Primary practice location

520 N 4TH Ave
Pasco, WA 99301-5257

Mailing address

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 416-8882

Other practice location 1

501 N Graham St Ste 200
Portland, OR 97227-2000
Phone (503) 413-4710

Other identifiers 1

IdentifierTypeStateIssuer
2085293MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171004001302 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183676679 Reassigns benefits to 4 organizations
I20210616001363 OR Practitioner - Cardiovascular Disease (Cardiology) 4183676679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCCH Trios Health LLCGroup PAC ID 5799035416, 65 clinicians
Lourdes Hospital LLCGroup PAC ID 1850642562, shared by 5 NPIs, 42 clinicians

Practice addresses (Care Compare)

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 544-6176

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Hospital LLC Current Accepting new patients
Lourdes Hospital LLC CurrentSince Sep 1, 2018 Accepting new patients
RCCH Trios Health LLC CurrentSince Mar 1, 2023 Accepting new patients
Centennial Medical Group Inc. Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 10, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 10, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 10, 2024 Accepting new patients
Our Lady of Lourdes Hospital at Pasco Past Accepting new patients
Centennial Medical Group Inc. Cardiovascular Disease PastSince Sep 27, 2020 Accepting new patients
Lourdes Hospital LLC Past Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Paul Guy Hagood Past Accepting new patients

Locations

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2801 NW Mercy Dr
Ste 300
Roseburg, OR 97471
Phone (541) 677-1555

3730 Plaza Way
Fl 4
Kennewick, WA 99338
Phone (509) 221-6450

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

507 N 5th Ave
Pasco, WA 99301
Phone (509) 543-1975

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104

2101 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 256-2640

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: amardeep.mann.1@18485.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1396715181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-416-8882",
            "fax_number": "509-542-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-416-8882",
            "fax_number": "509-542-3059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Graham St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272000",
            "country_code": "US",
            "telephone_number": "503-413-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "AMARDEEP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD203935",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60763281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085293",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.