Individual provider Active NPI

Cynthia Perez Mangubat, MD

  • Obstetrics & Gynecology Physician
  • Galesburg, IL
National Provider Identifier
1750505442
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036154576 Issued in IL
Practice address
3315 N. Seminary St. Ste 206 207 208
Galesburg, IL 61401-1251
Phone
(309) 344-1000
NPI assigned
Apr 12, 2007
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036154576 IL Primary
Obstetrics & Gynecology Physician 207V00000X C1-0008313 DE

Addresses

Primary practice location

3315 N. Seminary St. Ste 206 207 208
Galesburg, IL 61401-1251

Mailing address

549 Arnold St
Galesburg, IL 61401-4005
Phone (302) 423-8992

Other practice location 1

819 S Governors Ave
Dover, DE 19904-4158
Phone (302) 883-3677

Other names 1

  • Cynthia Perez Mangubat Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210110000013 IL Practitioner - Obstetrics/Gynecology 2062587637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Mary Medical CenterGroup PAC ID 8628038015, 52 clinicians
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians
Kewanee HospitalGroup PAC ID 4789578063, 26 clinicians

Practice addresses (Care Compare)

104 S Broadway St
Knoxville, IL 61448
Phone (309) 289-2335

1051 W S St
Kewanee, IL 61443-8354
Phone (309) 852-7500

3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000

3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161

3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 343-5114

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Osf Healthcare System CurrentSince Mar 14, 2024 Accepting new patients
Osf Healthcare System CurrentSince Mar 14, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System Current Accepting new patients
St. Mary Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2021 Accepting new patients
St Mary Medical Center Current Accepting new patients
St Mary Medical Center Past Accepting new patients
St Mary Medical Center Past Accepting new patients

Locations

3315 N Seminary St
#206
Galesburg, IL 61401

3315 N Seminary St
Ste 206
Galesburg, IL 61401
Phone (309) 344-1000

3315 N Seminary St
Ste 207
Galesburg, IL 61401

3315 N Seminary St
Ste 208
Galesburg, IL 61401
Phone (309) 344-1000

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828

2500 W Reynolds St
#212
Pontiac, IL 61764
Phone (815) 842-3567

Interoperability endpoints

  • Direct secure messaging: cynthia.mangubat@mcog.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1750505442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 ARNOLD ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014005",
            "telephone_number": "302-423-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 N. SEMINARY ST. STE 206 207 208",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011251",
            "telephone_number": "309-344-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 S Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044158",
            "country_code": "US",
            "telephone_number": "302-883-3677",
            "fax_number": "302-736-6951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGUBAT",
        "first_name": "CYNTHIA",
        "middle_name": "PEREZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036154576",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C1-0008313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "MANGUBAT",
            "middle_name": "PEREZ",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.