Individual provider Active NPI

Ivo O Besong Mangeb, MD

  • Diagnostic Radiology Physician
  • Lexington, KY
National Provider Identifier
1881089456
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101282615 Issued in VA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200821002167 MD Practitioner - Diagnostic Radiology 5991093353 Reassigns benefits to 2 organizations
I20211021003282 KY Practitioner - Diagnostic Radiology 5991093353 Reassigns benefits to 6 organizations
I20240619000403 VA Practitioner - Diagnostic Radiology 5991093353 Reassigns benefits to 4 organizations

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
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Central Kentucky Radiology PLLCGroup PAC ID 8921906983, 54 clinicians
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Merit-based Incentive Payment System (MIPS)

Final score
95.46 of 100Reported as apm
Quality
90.92
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D89678MDMDDiagnostic Radiology Physician
0101282615VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jun 27, 2024 Accepting new patients
Augusta Health Care, Inc CurrentSince Jul 12, 2024 Accepting new patients
Augusta Medical Group CurrentSince Jul 12, 2024 Accepting new patients
Augusta Medical Group CurrentSince Jul 12, 2024 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2020 Accepting new patients
Bluegrass Regional Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Feb 15, 2024 Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Aug 5, 2025 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Bluegrass Regional Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Augusta Health Care, Inc. Diagnostic Radiology CurrentSince Jul 12, 2024 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Apr 19, 2024 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 30, 2026 Accepting new patients
Bluegrass Regional Imaging LLC Diagnostic Radiology CurrentSince May 2, 2023 Accepting new patients
Johns Hopkins University Current Accepting new patients
Central Kentucky Radiology PLLC Diagnostic Radiology CurrentSince Sep 1, 2021 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

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 21

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

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

Verify at the official NPI Registry.