Jagindra N Mangru, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

062253 Issued in GA

Practice address

3970 Deputy Bill Cantrell Memorial Road
Ste 203
Cumming, GA 30040-3004

Phone

(770) 887-5159

Fax

(770) 887-9496

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

RheumatologyAlso: Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Arthritis and Rheumatology Associates-Ga, LLCGroup PAC ID 9830486257, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jagindra.mangru.p81@direct.aara1.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Arthritis & Rheumatology Associates-Ga, LLC

  • Rheumatology Physician
  • Cumming, GA
  • NPI 1851742068
  Medicare reassignment Care Compare group NPD
• Cumming Rheumatology and Arthritis LLC

  • Non-Pharmacy Dispensing Site
  • Cumming, GA
  • NPI 1083580492
  NPD Authorized official
• Cumming Family Medicine Inc

  • Family Medicine Physician
  • Cumming, GA
  • NPI 1144337023
  NPD (past)

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

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1922028034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEM",
            "address_2": "STE 203",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405962",
            "telephone_number": "770-887-5159",
            "fax_number": "770-887-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEMORIAL ROAD",
            "address_2": "STE 203",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403004",
            "telephone_number": "770-887-5159",
            "fax_number": "770-887-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGRU",
        "first_name": "JAGINDRA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TN",
            "license": "38156",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "062253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33396001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00222697",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "4092108",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0105",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmangru@aaracummingrheumatology.careclouddirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3970 DEPUTY BILL CANTRELL MEMORIAL ROAD",
            "address_2": "STE 203",
            "city": "CUMMING",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300403004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pauline Elizabeth Mallcott, M.A., CCC-A
• Madison Malloy
• Leah Maloof
• Mehak Manani, PA
• Charlei-Jane Mangano
• Allison Mangum, FNP-C
• Angela Mann, CCC-SLP
• Marla Mann
• Bailey Nicole Manson, ATC, OTC, OT-SC
• Bhargavi Mantha, PAC

• Rheumatology Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Rheumatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.

Verify at the official NPI Registry.