Individual provider Active NPI

Janine Mangini, M.D.

  • Dermatopathology Physician
  • Sarasota, FL
National Provider Identifier
1629090691
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
ME85123 Issued in FL
Practice address
3355 Clark Rd Ste 102
Sarasota, FL 34231-8400
Phone
(941) 312-2730
Fax
(941) 870-8941
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X ME85123 FL Primary

Addresses

Primary practice location

3355 Clark Rd Ste 102
Sarasota, FL 34231-8400

Mailing address

5600 Bee Ridge Rd Ste C
Sarasota, FL 34233-1549
Phone (941) 343-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20200923001862 TN Practitioner - Pathology 2163496977 Reassigns benefits to 1 organization
I20250610003851 FL Practitioner - Pathology 2163496977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nevada School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Practice addresses (Care Compare)

3355 Clark Rd
Suite 102
Sarasota, FL 34231-8400
Phone (941) 921-4131

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
76.93
Improvement activities
40
Cost
81.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tricities Skin and Cancer Dermatopathology CurrentSince Sep 1, 2020 Accepting new patients
Premier Dermatology, LLC CurrentSince Jun 15, 2025 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

350 S Indiana Ave
Englewood, FL 34223
Phone (941) 474-8811

5600 Bee Ridge Rd
Ste C
Sarasota, FL 34233

3355 Clark Rd
Ste 102
Sarasota, FL 34231
Phone (941) 312-2730

1009 N State of Franklin Rd
#R
Johnson City, TN 37604
Phone (423) 929-7546

1009 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 722-0565

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1629090691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BEE RIDGE RD STE C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331549",
            "telephone_number": "941-343-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 CLARK RD STE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318400",
            "telephone_number": "941-312-2730",
            "fax_number": "941-870-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGINI",
        "first_name": "JANINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME85123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.