Tara Mangat, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101232595 Issued in VA

Practice address

19415 Deerfield Ave
310
Lansdowne, VA 20176-8452

Phone

(703) 858-0076

Fax

(703) 726-6394

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2287/brand/1/csg/1/fhir/r4

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.

• CN Internal Medicine MD PC

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1952533275
  NPD (past)
• Laurelwood Associates Inc

  • Counselor
  • Willoughby, OH
  • NPI 1346282001
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1649256603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201460825",
            "telephone_number": "703-858-0076",
            "fax_number": "703-726-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "310",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "703-858-0076",
            "fax_number": "703-726-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAT",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101232595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "146222",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy S. Lee, O.D., P.L.L.C.
• Lynda Ly, PHARMD
• Cinthia Lyvers, FNP
• Barry R Maharaj, DDS
• Qudsia Iqbal Malik, M.D.
• Vinod Mathew
• Doreen Mattimiro, FNP
• Julie Fischer McCarter, LCSW
• McDonald Pediatrics PC
• Cynthia McFarland

• Psychiatry Physician in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.