Heidi Mangelsdorf, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

009400913 Issued in NC

Practice address

101 SW Cary Pkwy
Suite 210
Cary, NC 27511-5562

Phone

(919) 467-8556

Fax

(919) 380-1480

NPI assigned

Sep 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Dermatology

Education

Baylor College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cary Dermatology Center PAGroup PAC ID 7911981956, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hmangelsdorf@directaddress.net

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.

• Cary Dermatology Center, P.a.

  • Health Service Clinic/Center
  • Cary, NC
  • NPI 1942201488
  Medicare reassignment Care Compare group
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1528053428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SW CARY PKWY",
            "address_2": "SUITE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115562",
            "telephone_number": "919-467-8556",
            "fax_number": "919-380-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SW CARY PKWY",
            "address_2": "SUITE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115562",
            "telephone_number": "919-467-8556",
            "fax_number": "919-380-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGELSDORF",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "009400913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "03-55792",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1005L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine P Mancuso, PT
• Hilary Dawn Mandzik, PSYD, EDM, HSP-P
• Venkata Naga Sushma Manepalli
• Orquidea Mangal
• Rebecca Leigh Manganello, DO
• Bonnie Mangino, MPT
• Keyonda Mangum
• Natasha Mangvilay-Walker
• Anita Maniktala, M.D.
• Kristina Meyers Manley

• Dermatology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.