Active NPI
Ivo O Besong Mangeb, MD
- Diagnostic Radiology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101282615
- Practice address
- 1218 S Broadway Ste 310
Lexington, KY 40504-2759 - Phone
- (859) 219-0542
- Fax
- (859) 219-9433
- NPI assigned
- Apr 1, 2015
- Last updated
- Jul 12, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | TP355 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | D89678 | MD | |
| Diagnostic Radiology Physician | 2085R0202X | 0101282615 | VA | Primary |
Addresses
Primary practice location
1218 S Broadway Ste 310
Lexington, KY 40504-2759
Mailing address
1218 S Broadway Ste 310
Lexington, KY 40504-2759
Phone (859) 219-0542
Other practice location 1
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073
Other practice location 2
1215 Lee St
Charlottesville, VA 22908-2759
Phone (434) 924-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, KY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Toledo College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Lee St
Charlottesville, VA 22908-2325
Phone (434) 924-8129
134 Winding View TRL
Georgetown, KY 40324-9644
Phone (219) 767-6320
225 Falcon Dr
Mt Sterling, KY 40353-9792
Phone (859) 497-5000
288 Squires Cir
Lexington, KY 40515-8313
Phone (614) 687-7708
360 Amsden Ave
Versailles, KY 40383-1851
Phone (606) 873-3111
4305 New Shepherdsville Rd
Bardstown, KY 40004-9019
Phone (502) 350-5000
5 Garrett Ave
La Plata, MD 20646-5960
Phone (843) 237-3164
530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-5851
78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075
Hospital & facility affiliations
- Saint Joseph Hospital
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Saint Joseph London
- University of MD Charles Regional Medical Center
- Ascension St Vincent Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.46 of 100
- Quality
- 90.92
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D89678 | MD | MD | Diagnostic Radiology Physician |
| 0101282615 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Augusta Health Care, Inc | Current | Accepting new patients | |
| Augusta Medical Group | Current | Accepting new patients | |
| Augusta Medical Group | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Bluegrass Regional Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Salem Community Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Salem Community Hospital | Diagnostic Radiology | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Bluegrass Regional Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Augusta Health Care, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Foundation Radiology Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Uva Outpatient Imaging Culpeper, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Bluegrass Regional Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Central Kentucky Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
Locations (25 of 32)
7752 Solution Ctr
Chicago, IL 60677
8607 E US Highway 36
Ste 200
Avon, IN 46123
Phone (317) 569-5855
3802 W Industrial Blvd
Ste 4
Bloomington, IN 47403
Phone (812) 331-7727
11900 Pennsylvania St
Ste 100
Carmel, IN 46032
10206 Lantern Rd
Fishers, IN 46037
Phone (317) 598-1133
521 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 882-9422
1250 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 899-7980
7151 Marsh Rd
#100
Indianapolis, IN 46278
Phone (317) 580-5880
3738 Landmark Dr
Ste D
Lafayette, IN 47905
Phone (765) 449-7984
4313 S 7th St
Terre Haute, IN 47802
Phone (812) 234-0555
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
1218 S Broadway
Lexington, KY 40504
1218 S Broadway
Ste 310
Lexington, KY 40504
1401 Harrodsburg Rd
Ste C45
Lexington, KY 40504
Phone (859) 276-2157
211 Fountain Ct
Ste 140
Lexington, KY 40509
Phone (859) 629-7230
701 Bob O Link Dr
Ste 245
Lexington, KY 40504
Phone (859) 276-2157
3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
4940 Eastern Ave
Baltimore, MD 21224
6420 Rockledge Dr
Bethesda, MD 20817
Phone (301) 896-6700
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
- ibesongmangeb697965@direct.hopkinsmedicine.org
Organizations & group practices 21
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.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1952350761
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- General Practice Physician
- Fishersville, VA
- NPI 1245489590
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Diagnostic Radiology, KY
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Diagnostic Radiology Physician
- Fishersville, VA
- NPI 1720717044
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba Bath Community Hospital
- Critical Access Hospital
- Hot Springs, VA
- NPI 1417989278
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1417110842
Hospital & facility affiliations 30
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kentucky Laboratory System
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1215227012
Hospital
-
dba CHI Saint Joseph Hospital
- General Acute Care Hospital
- Lexington, KY
- NPI 1437150984
-
dba CHI Saint Joseph Jessamine
- Clinic/Center
- Nicholasville, KY
- NPI 1861650814
Hospital
-
dba CHI Saint Joseph London
- Rural Acute Care Hospital
- London, KY
- NPI 1992701429
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1013784859
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1033752704
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1093341497
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1104469873
-
dba UofL Health - Frazier Rehab Institute - Trager
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1114591039
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1124654512
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1124661897
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1144856543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1881089456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 S BROADWAY STE 310",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042759",
"telephone_number": "859-219-0542",
"fax_number": "859-219-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 S BROADWAY STE 310",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042759",
"telephone_number": "859-219-0542",
"fax_number": "859-219-9433"
}
],
"practiceLocations": [
{
"address_1": "8700 Sudley Rd",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104418",
"country_code": "US",
"telephone_number": "703-369-8073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229082759",
"country_code": "US",
"telephone_number": "434-924-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BESONG MANGEB",
"first_name": "IVO",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-01",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "TP355",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D89678",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101282615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.