Individual provider Active NPI

Elizabeth H. Mandell, MD

  • Obstetrics & Gynecology Physician
  • Charlottesville, VA
National Provider Identifier
1497824023
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101047968 Issued in VA
Practice address
325 Four Leaf LN
Charlottesville, VA 22903-9203
Phone
(434) 249-1613
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101047968 VA Primary

Addresses

Primary practice location

325 Four Leaf LN
Charlottesville, VA 22903-9203

Mailing address

2969 Catlett Rd
Charlottesville, VA 22901-5234
Phone (434) 249-1613

Other identifiers 1

IdentifierTypeStateIssuer
006280277MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060331000278 VA Practitioner - Obstetrics/Gynecology 4880602994 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101047968VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Mandell MD PLC CurrentSince Jul 1, 2010 Accepting new patients
Integrative Womens Care PC Obstetrics & Gynecology Past Accepting new patients

Locations

325 Four Leaf Ln
Ste 11B
Charlottesvle, VA 22903
Phone (434) 249-1613

Interoperability endpoints

  • Direct secure messaging: elizabeth.mandell.1@27069.direct.athenahealth.com
  • Direct secure messaging: elizabeth.mandell.1@20955.direct.athenahealth.com

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1497824023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 CATLETT RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229015234",
            "telephone_number": "434-249-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FOUR LEAF LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229039203",
            "telephone_number": "434-249-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "ELIZABETH",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101047968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006280277",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.