Michael Mangurten, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036057443 Issued in IL

Practice address

3405 N Arlington Heights Rd
Arlington Heights, IL 60004-1536

Phone

(847) 577-9300

Fax

(847) 577-9318

NPI assigned

May 30, 2006

Last updated

Feb 25, 2011By the provider in NPPES

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 IL

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside Medical, S.C.

  • Internal Medicine Physician
  • Arlington Heights, IL
  • NPI 1295918795
  Medicare reassignment NPD

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1720035132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041536",
            "telephone_number": "847-577-9300",
            "fax_number": "847-577-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041536",
            "telephone_number": "847-577-9300",
            "fax_number": "847-577-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGURTEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036057443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057443",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Mancilla
• Dakota Mandel, RBT
• Ruth Mandel
• Kishen S. Manglani, M.D.
• Romker Mamaril Mangulabnan, PT
• Manhae
• Jonathan Manix, OTD, OTR/L
• Dalia S Manjarres Cohen, PSYD
• Liseth Manjarrez, M.D.
• Morgan Jane Manka, PA-C

• Internal Medicine Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.