Active NPI
Ronald Mansolo, MD
- Family Medicine Physician
- Leander, TX
National Provider Identifier
1871586933
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.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K0519
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A8900 | Other | TX | BCBS |
| 121335706 | Medicaid | TX | |
| 080123157 | Other | TX | RAILROAD 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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Primary Care, PLLC | Family Medicine | Past | Accepting new patients |
| Partners in Chronic Disease Management Inc | Family Medicine | Past | Accepting new patients |
| Rapidcare Clinic PA | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1023287976
-
dba Medical House Call Associates
- Family Medicine Physician
- Lubbock, TX
- NPI 1033438635
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.