Rajendrasinh P Mangrola, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MEOO51839 Issued in FL

Practice address

4600 Military Trail
Suite 206
Jupiter, FL 33458-4812

Phone

(561) 691-1400

Fax

(561) 691-1423

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

PsychiatryAlso: Addiction Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• HealthSun Health Plans Network

Interoperability endpoints

• Direct secure messaging: rmangrola20350@jupitermedicalcenter.direct-ci.com

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.

• Pacific Heritage Medical Group Inc

  • Geriatric Psychiatry Physician
  • Westlake Village, CA
  • NPI 1467899450

  FL

  Medicare reassignment Care Compare group NPD
• Raju Mangrola, MD, PA

  • Psychiatry Physician
  • Jupiter, FL
  • NPI 1295031920
  Medicare reassignment NPD
• Internal Medicine of Savannah, LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1346514114
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1568464949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRAIL",
            "address_2": "SUITE 206",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584812",
            "telephone_number": "561-691-1400",
            "fax_number": "561-691-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRAIL",
            "address_2": "SUITE 206",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584812",
            "telephone_number": "561-691-1400",
            "fax_number": "561-691-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGROLA",
        "first_name": "RAJENDRASINH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "MEOO51839",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "MEOO51839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062125100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abhita Malhotra, LMHC
• Danish Fakhar Malik, MD
• Ali Mandelblatt, PSY.D.
• Michelle Mandell
• Corinne N Manganelli, APRN BC
• Isis Flavia Manhart, M.D.
• Scott Manker
• Gene Fredric Manko, M.D.
• Ana Maria Manning, APRN
• Cameron Manochi

• Psychiatry Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.