Active NPI
Shamlal Mangray, M.D.
- Pediatric Pathology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pathology Physician
- License
- 35.133020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007010438 | Other | RI | MEDICARE PTAN NUMBER: RIH PATHOLOGY GROUP# 229006187 |
| H636280 | Other | OH | MEDICARE PTAN |
| 007010439 | Other | RI | MEDICARE PTAN NUMBER: TMH PATHOLOGY GROUP# 229006185 |
| 7010439 | Medicaid | RI | |
| 0286630 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35.133020 | OH | MD | Pediatric Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pediatric Pathology Associates of Columbus Inc | Anatomic Pathology & Clinical Pathology | Current | 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.
-
- Clinical Medical Laboratory
- Columbus, OH
- NPI 1700860962
Anatomic Pathology & Clinical Pathology
-
- Multi-Specialty Clinic/Center
- Providence, RI
- NPI 1154537520
Anatomic Pathology & Clinical Pathology
-
- Transplant Surgery Physician
- Providence, RI
- NPI 1174605208
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.