Active NPI
Frank Daniel Mongiardo, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Hazard, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 25357
- Practice address
- 200 Medical Ctr. Dr.
Ste. 2N
Hazard, KY 41701-9466 - Phone
- (606) 439-4466
- Fax
- (606) 439-1941
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 25357 | KY | Primary |
Addresses
Primary practice location
200 Medical Ctr. Dr.
Ste. 2N
Hazard, KY 41701-9466
Mailing address
200 Medical Center Dr
Ste. 2N
Hazard, KY 41701-9466
Phone (606) 439-4466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64253578 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Kentucky College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1675 S Main St
London, KY 40741-2050
Phone (606) 878-8600
200 Medical Ctr Dr
Suite 2N
Hazard, KY 41701-9422
Phone (606) 439-4466
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25357 | KY | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank Daniel Mongiardo M.D. P.S.C | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| Familyhealthcare, PLLC | Past | Accepting new patients |
Locations
200 Medical Center Dr
Ste 2N
Hazard, KY 41701
Phone (606) 439-4466
200 Medical Dr
Hazard, KY 41701
Phone (606) 439-6782
Interoperability endpoints
- frank.mongiardo@arhnc.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/HFDGBA/Endpoint/HFDGBA
Organizations & group practices 2
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.
-
dba Appalachian Regional Head & Neck Center
- Otolaryngology/Facial Plastic Surgery Physician
- Hazard, KY
- NPI 1063552529
-
- Substance Abuse Rehabilitation Facility
- London, KY
- NPI 1316386063
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harlan, KY
- NPI 1306842521
-
dba Arh Hazard Family Health Services
- Multi-Specialty Clinic/Center
- Hazard, KY
- NPI 1558431346
Hospital
-
dba Hazard ARH Regional Medical Center
- General Acute Care Hospital
- Hazard, KY
- NPI 1609869916
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
-
dba CHI Saint Joseph London
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619048139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR",
"address_2": "STE. 2N",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019466",
"telephone_number": "606-439-4466",
"fax_number": "606-439-1941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CTR. DR.",
"address_2": "STE. 2N",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019466",
"telephone_number": "606-439-4466",
"fax_number": "606-439-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGIARDO",
"first_name": "FRANK",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "KY",
"license": "25357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64253578",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.