Individual provider Active NPI

Ronald Mansolo, MD

  • Family Medicine Physician
  • Leander, TX
National Provider Identifier
1871586933
Registry record updated Mar 11, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Jul 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0519 Issued in TX
Practice address
902 Crystal Falls Pkwy
Leander, TX 78641-3646
Phone
(512) 259-2222
Fax
(512) 259-2290
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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 K0519 TX Primary

Addresses

Primary practice location

902 Crystal Falls Pkwy
Leander, TX 78641-3646

Mailing address

902 Crystal Falls Pkwy
Leander, TX 78641-3646
Phone (512) 259-2222

Other identifiers 3

IdentifierTypeStateIssuer
8A8900OtherTXBCBS
121335706MedicaidTX
080123157OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Primary Care, PLLC Family Medicine Past Accepting new patients
Partners in Chronic Disease Management Inc Family Medicine PastSince Mar 1, 2013 Accepting new patients
Rapidcare Clinic PA Family Medicine PastSince May 13, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3648/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1871586933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CRYSTAL FALLS PKWY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413646",
            "telephone_number": "512-259-2222",
            "fax_number": "512-259-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CRYSTAL FALLS PKWY",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413646",
            "telephone_number": "512-259-2222",
            "fax_number": "512-259-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOLO",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A8900",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121335706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080123157",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

Verify at the official NPI Registry.