Mangala H Pawar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0056232 Issued in MD

Practice address

14113 Robert Paris CT
Chantilly, VA 20151-4200

Phone

(703) 956-6757

Fax

(855) 359-2261

NPI assigned

Aug 3, 2005

Last updated

May 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chantilly Family Medicine LLC

  • Family Medicine Physician
  • Chantilly, VA
  • NPI 1306106182

  Pediatrics

  NPD

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1922009794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14133 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514203",
            "telephone_number": "703-956-6757",
            "fax_number": "855-359-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14113 ROBERT PARIS CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514200",
            "telephone_number": "703-956-6757",
            "fax_number": "855-359-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24430 Stone Springs Blvd Ste 315",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662268",
            "country_code": "US",
            "telephone_number": "571-758-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWAR",
        "first_name": "MANGALA",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-05-23",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0056232",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0056232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101227651",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways in Aging
• Patient First Richmond Medical Group
• Patient First Richmond Medical Group PLLC
• Mary Elizabeth Paul, LCSW
• Noah Pauze
• PCS Life
• Peace Home Care Inc
• Peace Is Possible Counseling
• Larry Dean Peacock, LPC, CSAC
• Missie Pelfrey, APRN

• Pediatrics Physician in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.