Individual provider Active NPI

David F Mangan, MD

  • Anesthesiology Physician
  • Buffalo, NY
National Provider Identifier
1508839580
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
187571 1 Issued in NY
Practice address
565 Abbott Road
Buffalo, NY 14220
Phone
(716) 826-6628
Fax
(716) 828-3448
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 187571 1 NY Primary

Addresses

Primary practice location

565 Abbott Road
Buffalo, NY 14220

Mailing address

515 Abbott Road
Suite 410
Buffalo, NY 14220
Phone (716) 826-6628

Other identifiers 1

IdentifierTypeStateIssuer
01504003MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101006000116 NY Practitioner - Anesthesiology 3577755834 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Buffalo School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbott Anesthesiologist Associates PCGroup PAC ID 5991784449, 18 clinicians

Practice addresses (Care Compare)

515 Abbott Rd
Suite 410
Buffalo, NY 14220-1700
Phone (716) 826-6628

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187571 1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Parkside Medical Anesthesia Associates Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Dec 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Dec 1, 2020 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Nov 8, 2021 Accepting new patients
Anesthesiology Medical Consultants, PLLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients

Locations

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3871 Harlem Rd
Ste 202
Buffalo, NY 14215

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

515 Abbott Rd
Ste 410
Buffalo, NY 14220
Phone (716) 826-6628

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

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.

Hospital & facility affiliations 1

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1508839580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ABBOTT ROAD",
            "address_2": "SUITE 410",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14220",
            "telephone_number": "716-826-6628",
            "fax_number": "716-828-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ABBOTT ROAD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14220",
            "telephone_number": "716-826-6628",
            "fax_number": "716-828-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "DAVID",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "187571 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01504003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.