Individual provider Active NPI

Jagjit Mangat, MD

  • Family Medicine Physician
  • Clarkston, WA
National Provider Identifier
1679516918
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60249786 Issued in WA
Practice address
1221 Highland Ave
Clarkston, WA 99403-2829
Phone
(509) 758-5511
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2002-0206 NM
Family Medicine Physician 207Q00000X MD60249786 WA Primary

Addresses

Primary practice location

1221 Highland Ave
Clarkston, WA 99403-2829

Mailing address

PO Box 17130
Reno, NV 89511-3103
Phone (480) 620-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040614000848 NM Practitioner - Family PracticePractitioner - Emergency Medicine 8022092501 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

211 Sudderth Dr
Ruidoso, NM 88345-6002
Phone (575) 630-4233

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
  • Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
80.04
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60249786WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine Current Accepting new patients
Alteon Health New Mexico LLC Emergency Medicine CurrentSince Apr 6, 2015 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Dec 1, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Dec 1, 2024 Accepting new patients
Four Corners Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 6, 2022 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Oct 15, 2024 Accepting new patients
Curry Emergency Group LLC Emergency Medicine CurrentSince Feb 10, 2016 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine Past Accepting new patients
Lea Emergency Group LLC Emergency Medicine Past Accepting new patients
Michael a Rowley MD PA Past Accepting new patients
Usacs Integrated Acute Care Services of Nevada Bagnoli P C Past Accepting new patients
Eddy Emergency Group LLC Emergency Medicine Past Accepting new patients
Churchill Mangat Emergency Group PC Emergency Medicine PastSince Sep 1, 2010 Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

5419 N Lovington Hwy
Hobbs, NM 88240
Phone (505) 492-5000

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

Interoperability endpoints

  • Direct secure messaging: jmangat93322@direct.phs.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1679516918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17130",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113103",
            "telephone_number": "480-620-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032829",
            "telephone_number": "509-758-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAT",
        "first_name": "JAGJIT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "2002-0206",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60249786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, WA

Sources for this page

Verify at the official NPI Registry.