Active NPI
Gregory Mandile, D.O.
- Internal Medicine Physician
- Lakewood Ranch, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS16535
- Practice address
- 8130 Lakewood Main St Ste 103
Lakewood Ranch, FL 34202-5068 - Phone
- (941) 499-2700
- Fax
- (941) 487-0474
- NPI assigned
- Mar 17, 2017
- Last updated
- Feb 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS16535 | FL | Primary |
| Hospitalist Physician | 208M00000X | OS16535 | FL |
Addresses
Primary practice location
8130 Lakewood Main St Ste 103
Lakewood Ranch, FL 34202-5068
Mailing address
2413 Lakewood Ranch Blvd N
Lakewood Ranch, FL 34240-7025
Phone (941) 499-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8130 Lakewood Main St
Suite 103
Lakewood Ranch, FL 34202-5068
8433 Enterprise Circle
Suite 100 317
Lakewood Ranch, FL 34202-4200
Phone (941) 499-2700
Hospital & facility affiliations
- HCA Florida Sarasota Doctors Hospital
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
- HCA Florida Blake Hospital
- Lakewood Ranch Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.38 of 100
- Quality
- 87.5
- Improvement activities
- 40
- Cost
- 77.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accountable Inpatient Medicine | Multi-Specialty | Current | Accepting new patients |
Locations
8130 Lakewood Main St
Ste 103
Lakewood Ranch, FL 34202
Phone (918) 289-7085
8433 Enterprise Cir
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 499-2700
Organizations & group practices 1
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 Aim
- Internal Medicine Physician
- Lakewood Ranch, FL
- NPI 1659936870
Multi-Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Blake Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1730179714
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
dba HCA Florida Sarasota Doctors Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1629519038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 LAKEWOOD RANCH BLVD N",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342407025",
"telephone_number": "941-499-2700",
"fax_number": "941-487-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 LAKEWOOD MAIN ST STE 103",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342025068",
"telephone_number": "941-499-2700",
"fax_number": "941-487-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDILE",
"first_name": "GREGORY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-17",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS16535",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS16535",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.