Mahendra Mangray, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD21836 Issued in ME

Practice address

1600B Congress St
Portland, ME 04102-2124

Phone

(207) 774-5222

Fax

(207) 761-4433

NPI assigned

Jan 31, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72546

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.

• Maine Medical Partners

  dba Maine Medical Partners General Surgery, Trauma & Critical Care

  • Surgery Physician
  • Portland, ME
  • NPI 1285738310
  Medicare reassignment NPD
• Mainehealth

  dba Maine Transplant Program

  • Nephrology Physician
  • Portland, ME
  • NPI 1780788372

  Internal Medicine

  Medicare reassignment NPD
• Maine Medical Partners

  • Surgery Physician
  • Scarborough, ME
  • NPI 1346687167
  NPD
• Mainehealth

  dba Kenneth Ault MD

  • Hematology (Internal Medicine) Physician
  • Scarborough, ME
  • NPI 1659475036
  NPD
• Four Corners Nephrology Associates PC

  • Nephrology Physician
  • Farmington, NM
  • NPI 1144327172
  NPD (past)
• Four Corners Nephrology Associates PC

  • Nephrology Physician
  • Durango, CO
  • NPI 1417112178
  NPD (past)
• Kayenta Alternative Rural Hospital

  dba Inscription House Health Center

  • General Acute Care Hospital
  • Tonalea, AZ
  • NPI 1740359108
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1801074919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600B CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022124",
            "telephone_number": "207-774-5222",
            "fax_number": "207-761-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600B CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022124",
            "telephone_number": "207-774-5222",
            "fax_number": "207-761-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGRAY",
        "first_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116016860",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ME",
            "license": "MD21836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "49419",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "7742820-1205",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "43797",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD21836",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "2013-01034",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD2010-0606",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Turpin Manahan, LMSW-CC
• Andrew C Mancall, M.D.
• Dana Elizabeth Manel Jarvis, LCSW
• Giovannina Marie Mangini
• Joseph F Mangone, DDS
• Charity Maniates, MSPH, MPH, PAC
• Jayne Elizabeth Manigrasso, MD
• Bruce G Manley, PA-C
• Elizabeth A. Mann, RN
• Jack P Mann Jr., MD

• Nephrology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Nephrology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.