Walid Mangal, D.O

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

OS12479 Issued in FL

Practice address

1050 SE Monterey Road, Suite #104
Florida Vision Institute Inc.
Stuart, FL 34994

Phone

(772) 283-2020

Fax

(772) 219-7924

NPI assigned

Aug 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Philadelphia College of Osteopathic Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Vision Institute IncGroup PAC ID 5698668093, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: walid.mangal.p1@direct.nri.nextgenshare.com
• Direct secure messaging: walid.mangal.p2@direct.drea.nextgenshare.com

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.

• Florida Vision Institute Inc

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1083614366
  Medicare reassignment Care Compare group NPD
• Histology Solutions, Inc.

  • Clinical Pathology Physician
  • Fort Myers, FL
  • NPI 1821510710
  NPD
• Vitreo Retinal Consultants of the Palm Beaches PA

  • Ophthalmology Physician
  • West Palm Beach, FL
  • NPI 1871550996
  NPD (past)

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1659529055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY ROAD, SUITE #104",
            "address_2": "FLORIDA VISION INSTITUTE INC.",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-283-2020",
            "fax_number": "772-219-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY ROAD, SUITE #104",
            "address_2": "FLORIDA VISION INSTITUTE INC.",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-283-2020",
            "fax_number": "772-219-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAL",
        "first_name": "WALID",
        "name_prefix": "Mr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS12479",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "H0074109",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0102203133",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "OS12479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0552984 01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659529055",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Malveaux
• Morgan Blair Manasa, MD
• Mia Mance
• Vanessa Mancia
• Stephen Howard Mandy, MD
• Mangata Wellness, LLC
• Manifest Psychology, Inc.
• Yvonne Mann
• Rudolph Manna
• Dmarcus Manning

• Retina Specialist (Ophthalmology) Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Retina Specialist (Ophthalmology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.