Mangil Seo, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19652 Issued in IA

Practice address

4505 SW 9TH St
Suite #1
Des Moines, IA 50315-3939

Phone

(515) 287-7111

Fax

(515) 287-7114

NPI assigned

Aug 12, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mangil Seo MD PC

  • Clinic/Center
  • Des Moines, IA
  • NPI 1649451857
  NPD (past) Authorized official
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)
• Fawad S. Zafar MD PC

  • Urology Physician
  • West Des Moines, IA
  • NPI 1649223835
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1568474567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SW 9TH ST",
            "address_2": "SUITE #1",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153939",
            "telephone_number": "515-287-7111",
            "fax_number": "515-287-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 SW 9TH ST",
            "address_2": "SUITE #1",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153939",
            "telephone_number": "515-287-7111",
            "fax_number": "515-287-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "MANGIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "19652",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "19652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080598",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas E Selover, DO
• Sally Lynn Selover, IADC
• Ashlea Semmens, MD
• Seniorwell of Iowa LLC
• Seniorwell Pod of Iowa LLC
• Abigail Hayden Sepanic, ARNP
• Sohila Sepehri
• Preston Sereg, MD
• Anna C Serrano, MD
• Cheyenne T Serrano

• Surgery Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.