Individual provider Active NPI

Adam Mandel, M.D.

  • Diagnostic Radiology Physician
  • Wellington, FL
National Provider Identifier
1396797056
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME 74117 Issued in FL
Practice address
10101 W Forest Hill Blvd
Wellington, FL 33414-6103
Phone
(561) 798-8500
NPI assigned
May 17, 2006
Last updated
Mar 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME 74117 FL Primary

Addresses

Primary practice location

10101 W Forest Hill Blvd
Wellington, FL 33414-6103

Mailing address

PO Box 211179
Royal Palm Beach, FL 33421-1179
Phone (561) 723-3859

Other identifiers 1

IdentifierTypeStateIssuer
2617846-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070510000546 FL Practitioner - Diagnostic Radiology 7214033067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stand Up MRI of Boca Raton IncGroup PAC ID 9830097930, 11 clinicians

Practice addresses (Care Compare)

4521 Executive Dr
104 Stand Up MRI of SW Florida
Naples, FL 34119-9034
Phone (239) 514-2600

9080 Kimberly Blvd
Suite 14
Boca Raton, FL 33434-2862
Phone (561) 470-1890

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 74117FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of Orlando LLC Diagnostic Radiology Current Accepting new patients
Stand Up MRI of Boca Raton Inc Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
Health Diagnostics of Fort Lauderdale, LLC Diagnostic Radiology CurrentSince Nov 13, 2021 Accepting new patients
Delray West Boca MRI Associates LTD Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Health Diagnostics of Fort Lauderdale LLC Diagnostic Radiology CurrentSince May 17, 2021 Accepting new patients
Health Diagnostics of Orlando, LLC CurrentSince Nov 1, 2022 Accepting new patients
Bethesda-CT Scan Associates Inc Diagnostic Radiology PastSince Jul 1, 2003 Accepting new patients
Bethesda Health Outpatient Services, Inc. Past Accepting new patients
Bethesda Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Palms West Imaging Inc Diagnostic Radiology Past Accepting new patients
Palms West MRI, LLC Past Accepting new patients

Locations

9080 Kimberly Blvd
Ste 14
Boca Raton, FL 33434
Phone (561) 470-1890

4521 Executive Dr
Ste 104
Naples, FL 34119
Phone (239) 514-2600

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1396797056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211179",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334211179",
            "telephone_number": "561-723-3859",
            "fax_number": "561-792-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 W FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146103",
            "telephone_number": "561-798-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 74117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2617846-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.