Individual provider Active NPI

Darrin Richard Mangiacarne, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Lake Worth, FL
National Provider Identifier
1417148024
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
OS14247 Issued in FL
Practice address
7859 Lake Worth Rd
Lake Worth, FL 33467-3225
Phone
(561) 465-1000
NPI assigned
Aug 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 21086 MS
Addiction Medicine (Family Medicine) Physician 207QA0401X 02004594A IN
Addiction Medicine (Family Medicine) Physician 207QA0401X DR.0072851 AK
Addiction Medicine (Family Medicine) Physician 207QA0401X 04631 KY
Addiction Medicine (Family Medicine) Physician 207QA0401X 0102203536 VA
Addiction Medicine (Family Medicine) Physician 207QA0401X OS14247 FL Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X OS014185 PA

Addresses

Primary practice location

7859 Lake Worth Rd
Lake Worth, FL 33467-3225

Mailing address

16233 Burnt Rock LN
Fortville, IN 46040-4537

Other practice location 1

4750 E Begich Cir
Wasilla, AK 99654-7605
Phone (907) 290-5450

Other practice location 2

2349 Russellville Rd
Bowling Green, KY 42101-3986
Phone (270) 781-3387

Other practice location 3

4701 E Begich Cir
Wasilla, AK 99654-7605
Phone (907) 290-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20151007000897 IN Practitioner - Addiction Medicine 7911190137 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0072851AKMDAddiction Medicine (Family Medicine) Physician
OS14247FLMDAddiction Medicine (Family Medicine) Physician
04631KYMDAddiction Medicine (Family Medicine) Physician
0102203536VAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jul 8, 2021 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Dec 1, 2021 Accepting new patients
Center for Alcohol and Drug Studies, LLC. CurrentSince Feb 2, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 8, 2021 Accepting new patients
Community Addiction Services Inc. CurrentSince Feb 18, 2023 Accepting new patients
Banyan Castle Rock, LLC Past Accepting new patients
Banyan Alaska, LLC PastSince Dec 1, 2022 Accepting new patients
Journeypure Panhandle LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

7859 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 264-1138

225 N Federal Hwy
Pompano Beach, FL 33062

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

3372 Peachtree Rd NE
Ste 115
Atlanta, GA 30326
Phone (229) 514-9229

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

1431 N Delaware St
Indianapolis, IN 46202
Phone (317) 536-7100

8102 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 572-9319

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

101 Hudson St
Fl 21
Jersey City, NJ 07302
Phone (201) 706-7135

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

18 Campus Blvd
Ste 1800
Newtown Square, PA 19073

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1417148024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 BURNT ROCK LN",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460404537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7859 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334673225",
            "telephone_number": "561-465-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 E Begich Cir",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547605",
            "country_code": "US",
            "telephone_number": "907-290-5450",
            "fax_number": "907-290-5460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2349 Russellville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421013986",
            "country_code": "US",
            "telephone_number": "270-781-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 E Begich Cir",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547605",
            "country_code": "US",
            "telephone_number": "907-290-5450",
            "fax_number": "907-290-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGIACARNE",
        "first_name": "DARRIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MS",
            "license": "21086",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "02004594A",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AK",
            "license": "DR.0072851",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "04631",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0102203536",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "OS14247",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS014185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.