Individual provider Active NPI

Alexandra Mandola, DO

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1801383633
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S8175 Issued in TX
Practice address
10705 Spring Green Blvd Ste 600
Katy, TX 77494-4154
Phone
(281) 783-8162
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S8175 TX Primary

Addresses

Primary practice location

10705 Spring Green Blvd Ste 600
Katy, TX 77494-4154

Mailing address

10705 Spring Green Blvd Ste 600
Katy, TX 77494-4154
Phone (281) 783-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210820000290 TX Practitioner - Family Practice 5193072320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3322 E Walnut St
112 Doc's PCSM
Pearland, TX 77581-4305
Phone (281) 485-3226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Aug 1, 2021 Accepting new patients
Next Level MV LLC CurrentSince Aug 1, 2021 Accepting new patients
Nluc PLLC Current Accepting new patients
Next Level MV LLC CurrentSince Aug 1, 2021 Accepting new patients
Doc's Interventional Sports Medicine and Primary Care P.L.L.C. CurrentSince Jun 1, 2024 Accepting new patients
Nluc PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

8350 Fry Rd
Ste 400
Cypress, TX 77433

101 Winding Way St
Ste A
Lake Jackson, TX 77566

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

3322 E Walnut St
Ste 112
Pearland, TX 77581
Phone (281) 485-3226

4002 FM 762 Rd
Ste 100
Rosenberg, TX 77469

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

16107 Kensington Dr
Sugar Land, TX 77479
Phone (713) 513-7388

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1801383633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 SPRING GREEN BLVD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944154",
            "telephone_number": "281-783-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 SPRING GREEN BLVD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944154",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDOLA",
        "first_name": "ALEXANDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S8175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.