Active NPI
Raul N Mandler, MD, LLC
- Neurology Physician
- North Bethesda, MD
National Provider Identifier
1740433812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0055311
- Legal business name
- RAUL N MANDLER, MD, LLC
- Practice address
- 6000 Executive Blvd
North Bethesda, MD 20852-3803 - Phone
- (202) 550-6601
- NPI assigned
- Nov 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raul N Mandler, MD
- Title
- Sole Owner
- Phone
- (202) 550-6601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | D0055311 | MD | Primary |
Addresses
Primary practice location
6000 Executive Blvd
North Bethesda, MD 20852-3803
Mailing address
PO Box 298
Cabin John, MD 20818-0298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14957 | Other | DC | DISTRICT OF COLUMBIA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6000 Executive Blvd
Ste 603
Rockville, MD 20852
Phone (202) 550-6601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286236800000",
"number": "1740433812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 298",
"city": "CABIN JOHN",
"state": "MD",
"postal_code": "208180298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 EXECUTIVE BLVD",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "208523803",
"telephone_number": "202-550-6601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAUL N MANDLER, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-02",
"last_updated": "2010-10-05",
"status": "A",
"authorized_official_last_name": "MANDLER",
"authorized_official_first_name": "RAUL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "202-550-6601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0055311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISTRICT OF COLUMBIA MEDICAL LICENSE",
"identifier": "14957",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.