NPIMap

Individual provider Active NPI

Donald E Mansell, M.D.

  • Gastroenterology Physician
  • Paradise, CA
National Provider Identifier
1730117862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A38609 Issued in CA
Practice address
153 Pearson Rd
Paradise, CA 95969-5045
Phone
(530) 877-0400
Fax
(530) 877-0407
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A38609 CA Primary

Addresses

Primary practice location

153 Pearson Rd
Paradise, CA 95969-5045

Mailing address

PO Box 85
Paradise, CA 95967-0085
Phone (530) 877-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000449 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9234315243 Reassigns benefits to 3 organizations
Practice locations: Paradise, CA

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2415 W Vine St
Suite 105
Lodi, CA 95242-3731
Phone (209) 334-3411

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy142
Upper gastrointestinal (GI) endoscopy for acid reflux271

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38609CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Feb 22, 2019 Accepting new patients
Enloe Medical Center Gastroenterology CurrentSince Jan 6, 2021 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Adventist Health Physicians Network CurrentSince Feb 22, 2019 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Dec 15, 2024 Accepting new patients
Enloe Medical Center CurrentSince Jan 6, 2021 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Howard M Hack MD PC Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

111 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 332-3986

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

999 S Fairmont Ave
Ste 50
Lodi, CA 95240
Phone (209) 334-8509

999 S Fairmont Ave
Ste 125
Lodi, CA 95240
Phone (209) 334-8514

621 S Ham Ln
Ste A
Lodi, CA 95242
Phone (209) 334-8514

6283 Clark Rd
Ste 5
Paradise, CA 95969
Phone (530) 872-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dmansell15339@enloedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730117862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959670085",
            "telephone_number": "530-877-0400",
            "fax_number": "530-877-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 PEARSON RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695045",
            "telephone_number": "530-877-0400",
            "fax_number": "530-877-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSELL",
        "first_name": "DONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A38609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.