Ajay Kumar Mangal, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME 110058 Issued in FL

Practice address

423 Linden LN
Lake Wales, FL 33853-4342

Phone

(863) 676-1960

NPI assigned

Sep 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Otolaryngology

Education

University of Iowa, RJ & L Carver College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osceola Surgical Associates LLC 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110

Merit-based Incentive Payment System (MIPS)

Final score

87.32 of 100Reported as group

Quality

75.8

Promoting interoperability

99

Improvement activities

40

Cost

63.92

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 6)

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Osceola Surgical Associates LLC

  • Surgery Physician
  • Kissimmee, FL
  • NPI 1578723540

  FL

  Medicare reassignment Care Compare group
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  Otolaryngology

  NPD (past)
• Osceola Surgical Associates LLC

  • Surgery Physician
  • Kissimmee, FL
  • NPI 1700043585
  NPD (past)
• Allied Ear Nose Throat Institute Inc

  • Otolaryngology Physician
  • Chicago, IL
  • NPI 1619019627

  Otolaryngology

  NPD (past)
• Butler Health Associates, Inc.

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1174673487
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Osceola Regional Hospital, Inc.

  • General Acute Care Hospital
  • Kissimmee, FL
  • NPI 1689621450

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1669706347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 LINDEN LN",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534342",
            "telephone_number": "863-676-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 LINDEN LN",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534342",
            "telephone_number": "863-676-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAL",
        "first_name": "AJAY",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35.054717",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-124396",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME 110058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740658",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AJAY.MANGAL@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "423 Linden Ln",
            "city": "Lake Wales",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338534342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lozano Internal Medicine LLC
• Gilberto A Lozano, M.D.
• Riedasiel Lugo
• Edwina Patrice Mackroy-Snell, M.ED.
• Prerna Alfa Mall, DPM
• Marc Edward Marchioli, PA
• Marilyn Frontera PLLC
• David Joseph Marinock Jr., D.C
• Nelson Marquez, R.P.T.
• Wenjun Wang Martin, AA

• All providers in Lake Wales, FL
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.