Active NPI
Adam Mandel, D.O.
- Emergency Medicine Physician
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 153440
- Practice address
- 1 General St
Lawrence, MA 01841-2997 - Phone
- (978) 683-4000
- NPI assigned
- Jul 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 912 | SC | |
| Emergency Medicine Physician | 207P00000X | 153440 | MA | Primary |
Addresses
Primary practice location
1 General St
Lawrence, MA 01841-2997
Mailing address
PO Box 602645
Charlotte, NC 28260-2645
Phone (843) 789-1620
Other practice location 1
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009127 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Emergency Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
989 Ribaut Rd
Suite 220
Beaufort, SC 29902-5481
Phone (843) 524-8171
Hospital & facility affiliations
- Beaufort County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 61 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153440 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper St. Francis Mount Pleasant Hospital | Current | Accepting new patients | |
| Roper St. Francis Mount Pleasant Hospital | Emergency Medicine | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Roper St. Francis Mount Pleasant Hospital | Current | Accepting new patients | |
| Healogics Specialty Physicians of South Carolina, LLC | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| Broad River Physicians Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Healogics Specialty Physicians of South Carolina, LLC | Current | Accepting new patients | |
| Roper Hospital Inc. | Current | Accepting new patients | |
| Roper Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| Acs Emergency Physicians of SC PC | Emergency Medicine | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Roper Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| Nason Medical Center V, LLC | Past | Accepting new patients | |
| Nason Medical Center II, LLC | Past | Accepting new patients | |
| Coastal Carolina Multispecialty Associates, LLC | Past | Accepting new patients | |
| Brockton Hospital, Inc. | Past | Accepting new patients | |
| Nason Medical Center IV, LLC | Past | Accepting new patients | |
| Nason Medical Center III, LLC | Past | Accepting new patients | |
| Robertson Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
989 Ribaut Rd
Ste 220
Beaufort, SC 29902
Phone (843) 522-5300
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
19 Moss Creek Vlg
Hilton Head Island, SC 29926
Phone (843) 706-0600
3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000
1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600
100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165
Organizations & group practices 22
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.
-
- Internal Medicine Physician
- Beaufort, SC
- NPI 1598713117
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1124355375
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1770867442
-
- Emergency Medicine Physician
- Summerville, SC
- NPI 1295443000
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Myrtle Beach, SC
- NPI 1033531850
-
- Emergency Medicine Physician
- Moncks Corner, SC
- NPI 1104983055
-
- Cardiovascular Disease Physician
- Mt Pleasant, SC
- NPI 1629499298
-
- Specialist
- Beaufort, SC
- NPI 1346474996
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
- Clinic/Center
- Spartanburg, SC
- NPI 1023677945
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1902991607
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1629077052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602645",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602645",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENERAL ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412997",
"telephone_number": "978-683-4000"
}
],
"practiceLocations": [
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1037",
"fax_number": "843-402-1295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDEL",
"first_name": "ADAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "912",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "153440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009127",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.