NPIMap

Individual provider Active NPI

Ernest Israel Mandel, MD

  • Nephrology Physician
  • Boston, MA
National Provider Identifier
1487836706
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
246310 Issued in MA
Practice address
75 Francis St
Renal Division, MRB-4
Boston, MA 02115-6110
Phone
(617) 732-6383
NPI assigned
Nov 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 246310 MA Primary

Addresses

Primary practice location

75 Francis St
Renal Division, MRB-4
Boston, MA 02115-6110

Mailing address

75 Francis St
Renal Division, MRB-4
Boston, MA 02115-6110
Phone (617) 732-6383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110326000036 MA Practitioner - NephrologyPractitioner - Internal Medicine 4385716299 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Yale University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Rehabilitation CenterGroup PAC ID 6608855119, 49 clinicians

Practice addresses (Care Compare)

1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 363-8010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246310MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2017 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Hebrew Rehabilitation Center CurrentSince Jun 15, 2012 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jul 1, 2017 Accepting new patients
Newbridge on the Charles, Inc. Current Accepting new patients
Hebrew Rehabilitation Center CurrentSince Jun 15, 2012 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

75 Francis St
#4
Boston, MA 02115
Phone (617) 732-5802

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000

Interoperability endpoints

  • Direct secure messaging: mandel.ernest.bwh@direct.partners.masshiway.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hebrew Rehabilitation CenterRoslindale, MA, CCN 222007 Hospital Corporate Officer (18%) Jan 1, 2023
Newbridge on the Charles Rehabilitative Services UnitDedham, MA, CCN 225774 Skilled nursing facility Corporate Officer (20%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Jan 1, 2023
Hebrew Rehabilitation CenterRoslindale, MA, CCN 225759 Skilled nursing facility Corporate Officer (20%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Feb 12, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1487836706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "RENAL DIVISION, MRB-4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "RENAL DIVISION, MRB-4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "ERNEST",
        "middle_name": "ISRAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "246310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.