Mindy Lin Mandich, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DOS1965 Issued in HI

Practice address

55 S Kukui St Ste C108
Honolulu, HI 96813-2328

Phone

(808) 531-8874

Fax

(808) 523-0466

NPI assigned

Mar 19, 2016

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Family Practice

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• The M Clinic LLC

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1760246458
  NPD Authorized official
• 808 Eye Care, LLC

  • Optometrist
  • Honolulu, HI
  • NPI 1740658848
  NPD (past)
• Straub Clinic & Hospital

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1851443733
  NPD (past)

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1730540659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S KUKUI ST STE C108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132328",
            "telephone_number": "808-727-1081",
            "fax_number": "612-421-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S KUKUI ST STE C108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132328",
            "telephone_number": "808-531-8874",
            "fax_number": "808-523-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDICH",
        "first_name": "MINDY",
        "middle_name": "LIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS1965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandala Integrative Therapy, LLC
• Mandalay Clinic LLC
• Jason Liang Mandap, FNP-C
• Brett Gerald Mandich, DMD
• Maureen A. Mandich, LCSW
• Zachary Mandryk
• Matthew Alan Mandzik, CRNA
• Madalina Marina Manea, DDS
• Jesusa Agudera Maneja
• Darline C Manfred I

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.