NPIMap

Individual provider Active NPI

Vivek Mangla, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Lufkin, TX
National Provider Identifier
1568579233
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
K2237 Issued in TX
Practice address
710 Gaslight Blvd Ste a
Lufkin, TX 75904-3187
Phone
(936) 639-0988
Fax
(936) 639-0991
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K2237 TX
Interventional Cardiology Physician 207RI0011X K2237 TX
Nuclear Cardiology Physician 207UN0901X K2237 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X K2237 TX Primary

Addresses

Primary practice location

710 Gaslight Blvd Ste a
Lufkin, TX 75904-3187

Mailing address

710 Gaslight Blvd Ste a
Lufkin, TX 75904-3187
Phone (936) 639-0988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000207 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7517931330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

710 Gaslight Blvd
Suite a
Lufkin, TX 75904-3187
Phone (936) 639-0988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as individual
Quality
82.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Pacemaker insertion or repair29
Varicose vein removal1-10
Leg revascularization (restoring blood flow)163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2237TXMDCardiovascular Disease Physician
23282ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivek Mangla, MD PC Cardiovascular Disease CurrentSince Apr 1, 2007 Accepting new patients
Salem Health West Valley Past Accepting new patients
Salem Health Past Accepting new patients

Locations

1111 W Frank Ave
Ste 301
Lufkin, TX 75904
Phone (936) 632-7606

710 Gaslight Blvd
Ste A
Lufkin, TX 75904
Phone (806) 928-5053

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

1105 W Frank Ave
Ste 110
Lufkin, TX 75904
Phone (936) 634-1620

Organizations & group practices 3

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 6

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568579233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GASLIGHT BLVD STE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043187",
            "telephone_number": "936-639-0988",
            "fax_number": "936-639-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GASLIGHT BLVD STE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043187",
            "telephone_number": "936-639-0988",
            "fax_number": "936-639-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGLA",
        "first_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K2237",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "K2237",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "K2237",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "K2237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.