Mark Alon Mandelbaum, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

2014036763 Issued in MO

Practice address

4400 Broadway
Ste. 520
Kansas City, MO 64111-3498

Phone

(816) 531-4080

Fax

(816) 531-0281

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, MO2 enrollments

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 2

Specialty

HospitalistAlso: Neurology, Psychiatry

Education

University of Oklahoma College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCPC-22, LLCGroup PAC ID 7315338324, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmandelbaum113264@firsthealth.direct-ci.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.

• MCPC-22, LLC

  • Specialist
  • Pinehurst, NC
  • NPI 1255207593

  Neurology

  Medicare reassignment Care Compare group NPD
• Cameron Regional Medical Center Inc

  • General Acute Care Hospital
  • Cameron, MO
  • NPI 1811905375
  Medicare reassignment NPD
• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330
  Medicare reassignment NPD
• FHPG, LLC

  • Family Medicine Physician
  • Lillington, NC
  • NPI 1760329486
  Medicare reassignment
• Western Carolina Neurology

  • Neurology Physician
  • Hendersonville, NC
  • NPI 1972744266
  NPD (past) Authorized official
• Cameron Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • King City, MO
  • NPI 1861269318
  NPD
• Western Missouri Medical Center

  • Dermatology Physician
  • Warrensburg, MO
  • NPI 1144103029
  NPD
• FHPG, LLC

  • Specialist
  • Pinehurst, NC
  • NPI 1770512865
  NPD
• FHPG, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1942196035
  NPD
• MCPC-22, LLC

  • Specialist
  • Pinehurst, NC
  • NPI 1053074369
  NPD
• Arizona Balance and Hearing Associates, LLC

  • Audiologist
  • Phoenix, AZ
  • NPI 1871615427
  NPD (past)
• Arizona Balance and Hearing Associates,LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1902195779
  NPD (past)

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

• Firsthealth of the Carolinas, Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Pinehurst, NC
  • NPI 1740463967

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc

  • Land Ambulance
  • Pinehurst, NC
  • NPI 1871610378

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • Oncology Clinic/Center
  • Pinehurst, NC
  • NPI 1417010422

  Hospital

  Care Compare affiliation
• Firsthealth of the Carolinas, Inc.

  • General Acute Care Hospital
  • Pinehurst, NC
  • NPI 1740208081
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1629033428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY",
            "address_2": "STE. 520",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-531-4080",
            "fax_number": "816-531-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Far West Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "64506",
            "country_code": "US",
            "telephone_number": "816-271-8182",
            "fax_number": "816-271-0818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Far West Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "64506",
            "country_code": "US",
            "telephone_number": "816-271-8182",
            "fax_number": "816-271-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDELBAUM",
        "first_name": "MARK",
        "middle_name": "ALON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J9748",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-20041",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2014036763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629033428",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savitri Manda, M.D.
• Annamarie Mandacina, RN ANP-BC
• John Anthony Mandacina II, DPT
• Paige Mandas, PHD
• Manish Mandava, MD
• Fanny Margaret Mandelberger, OTR/L
• Abbey Manfucci, PHARM.D.
• Justice Manganda
• Rita A Mangold, RN
• Mangus Chiropractic & Wellness LLC

• Neurology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.