NPIMap

Individual provider Active NPI

Preet Gurinder Kaur Mangat, M.D

  • Adolescent Medicine (Family Medicine) Physician
  • Tempe, AZ
National Provider Identifier
1417211632
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
BP10043712 Issued in TX
Practice address
1492 S. Mill Ave
Suite No. 312
Tempe, AZ 85281
Phone
(602) 243-7277
NPI assigned
Jul 3, 2012
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X BP10043712 TX Primary

Addresses

Primary practice location

1492 S. Mill Ave
Suite No. 312
Tempe, AZ 85281

Mailing address

301 University Blvd
Galveston, TX 77555-1385
Phone (409) 772-2166

Other names 1

  • Dr. Preet Kaur Mangat Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20151019001715 AZ Practitioner - Family Practice 0042529885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

10900 N Scottsdale Rd
Suite 603
Scottsdale, AZ 85254-5252
Phone (480) 882-7470

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900

6220 W Bell Rd
Glendale, AZ 85308-3896

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10043712TXMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Mar 2, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corporation Family Medicine CurrentSince Mar 2, 2020 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Mar 2, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 2, 2020 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients

Locations

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10900 N Scottsdale Rd
Ste 603
Scottsdale, AZ 85254
Phone (480) 607-3800

Interoperability endpoints

  • Direct secure messaging: pmangat362036@direct.honorhealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1417211632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551385",
            "telephone_number": "409-772-2166",
            "fax_number": "409-772-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S. MILL AVE",
            "address_2": "SUITE NO. 312",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "602-243-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAT",
        "first_name": "PREET GURINDER",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "BP10043712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PREET",
            "last_name": "MANGAT",
            "middle_name": "KAUR",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.