Active NPI
Nandini A Mandlik, DO
- Pediatrics Physician
- Pleasanton, TX
National Provider Identifier
1831175488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N4573
- Practice address
- 310 W Oaklawn
Pleasanton, TX 78064-4033 - Phone
- (830) 569-8940
- Fax
- (830) 569-8320
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N4573 | TX | Primary |
Addresses
Primary practice location
310 W Oaklawn
Pleasanton, TX 78064-4033
Mailing address
310 W Oaklawn
Pleasanton, TX 78064-4033
Phone (830) 569-8940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212660901 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Pediatrics | Current | Accepting new patients |
| Ahn, Abdulla & Krishnan, M.D., LTD | Past | Accepting new patients |
Locations
310 W Oaklawn Rd
Pleasanton, TX 78064
Phone (830) 569-2527
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
Interoperability endpoints
- nmandlik47731@uhssa.direct-ci.com
Organizations & group practices 2
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.
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- Las Vegas, NV
- NPI 1073592309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392595200000",
"number": "1831175488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W OAKLAWN",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644033",
"telephone_number": "830-569-8940",
"fax_number": "830-569-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W OAKLAWN",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644033",
"telephone_number": "830-569-8940",
"fax_number": "830-569-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDLIK",
"first_name": "NANDINI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2014-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N4573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212660901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.