Organization Active NPI

Raul N Mandler, MD, LLC

  • Neurology Physician
  • North Bethesda, MD
National Provider Identifier
1740433812
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0055311 Issued in MD
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

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Dr. Raul N Mandler, MDNPI 1366576803
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
14957OtherDCDISTRICT OF COLUMBIA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000132 DC Part B Supplier - Clinic/Group Practice 5092874131 Receives reassigned benefits from 1 practitioner
Practice locations: North Bethesda, MD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.