Individual provider Active NPI

Heather Mandrell, MD

  • Pediatrics Physician
  • Oxford, OH
National Provider Identifier
1467913038
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
57.247434 Issued in OH
Practice address
5141 Morning Sun Rd
Oxford, OH 45056-9629
Phone
(513) 523-2156
NPI assigned
Mar 27, 2019
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 57.247434 OH Primary

Addresses

Primary practice location

5141 Morning Sun Rd
Oxford, OH 45056-9629

Mailing address

12 Stonehedge Cir
Oxford, OH 45056-2034

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
I20240827002604 IN Practitioner - Pediatric Medicine 6507305174 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.247434OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth Physicians of Indiana Inc CurrentSince Jun 20, 2024 Accepting new patients
Trihealth Physicians of Indiana, Inc. CurrentSince Jun 20, 2024 Accepting new patients
Trihealth Physicians of Indiana, Inc Current Accepting new patients
McCullough-Hyde Memorial Hospital, Inc. Past Accepting new patients
Trihealth G LLC Pediatrics Past Accepting new patients

Locations

10058 Cooley Rd
Brookville, IN 47012
Phone (765) 647-0808

10058 Cooley Rd
Ste B
Brookville, IN 47012
Phone (765) 647-3557

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

Interoperability endpoints

  • Direct secure messaging: hmandrell358253@direct.trihealth.com

Organizations & group practices 5

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1467913038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STONEHEDGE CIR",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 MORNING SUN RD",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569629",
            "telephone_number": "513-523-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDRELL",
        "first_name": "HEATHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.247434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.