Individual provider Active NPI

Shamlal Mangray, M.D.

  • Pediatric Pathology Physician
  • Columbus, OH
National Provider Identifier
1831143387
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pathology PhysicianTaxonomy code 207ZP0213X
License
35.133020 Issued in OH
Practice address
700 Childrens Dr # D00651
Columbus, OH 43205-2664
Phone
(614) 722-5315
Fax
(614) 355-1597
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pathology Physician 207ZP0213X MD10583 RI
Pediatric Pathology Physician 207ZP0213X 35.133020 OH Primary
Anatomic Pathology Physician 207ZP0101X MD10583 RI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35.133020 OH

Addresses

Primary practice location

700 Childrens Dr # D00651
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr # D00651
Columbus, OH 43205-2664
Phone (614) 722-5315

Other identifiers 5

IdentifierTypeStateIssuer
007010438OtherRIMEDICARE PTAN NUMBER: RIH PATHOLOGY GROUP# 229006187
H636280OtherOHMEDICARE PTAN
007010439OtherRIMEDICARE PTAN NUMBER: TMH PATHOLOGY GROUP# 229006185
7010439MedicaidRI
0286630MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130625000246 RI Practitioner - Pathology 3274772199 Reassigns benefits to 1 organization
I20180724002685 OH Practitioner - Pathology 3274772199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Pathology Associates of Columbus, Inc.Group PAC ID 8527090380, 11 clinicians

Practice addresses (Care Compare)

700 Children'S Dr
Columbus, OH 43205-2664
Phone (614) 722-5315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.133020OHMDPediatric Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2017 Accepting new patients
Pediatric Pathology Associates of Columbus Inc Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2018 Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

700 Childrens Dr
#D651
Columbus, OH 43205
Phone (614) 722-5315

700 Childrens Dr
#336
Columbus, OH 43205
Phone (614) 722-5315

950 Warren Ave
Ste 103
East Providence, RI 02914
Phone (401) 606-4325

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

593 Eddy St
Providence, RI 02903

593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

Organizations & group practices 3

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1831143387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR # D00651",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-5315",
            "fax_number": "614-355-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR # D00651",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-5315",
            "fax_number": "614-355-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGRAY",
        "first_name": "SHAMLAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "RI",
            "license": "MD10583",
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "OH",
            "license": "35.133020",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "RI",
            "license": "MD10583",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.133020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER: RIH PATHOLOGY GROUP# 229006187",
            "identifier": "007010438",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H636280",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER: TMH PATHOLOGY GROUP# 229006185",
            "identifier": "007010439",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7010439",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0286630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.