Individual provider Active NPI

Chris Mamone

  • Internal Medicine Physician
  • Gates Mills, OH
National Provider Identifier
1669316147
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.260437 Issued in OH
Practice address
6774 Gates Mills Blvd
Gates Mills, OH 44040-9305
Phone
(216) 973-6471
NPI assigned
Apr 16, 2026
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.260437 OH Primary

Addresses

Primary practice location

6774 Gates Mills Blvd
Gates Mills, OH 44040-9305

Mailing address

6774 Gates Mills Blvd
Gates Mills, OH 44040-9305
Phone (216) 973-6471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20260522002228 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2365912086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57.260437OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1669316147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6774 GATES MILLS BLVD",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409305",
            "telephone_number": "216-973-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6774 GATES MILLS BLVD",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409305",
            "telephone_number": "216-973-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMONE",
        "first_name": "CHRIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.260437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gates Mills, OH

Sources for this page

Verify at the official NPI Registry.