Active NPI
Narayanan K Mangalat, M.D.
- Surgery Physician
- Chillicothe, MO
National Provider Identifier
1922090299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R7308
- Practice address
- 103 11TH St
Suite #5
Chillicothe, MO 64601-1676 - Phone
- (660) 707-4472
- Fax
- (660) 707-4475
- NPI assigned
- Aug 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R7308 | MO | Primary |
Addresses
Primary practice location
103 11TH St
Suite #5
Chillicothe, MO 64601-1676
Mailing address
103 11TH St
Suite #5
Chillicothe, MO 64601-1676
Phone (660) 707-4472
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7308 | MO | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1922090299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 11TH ST",
"address_2": "SUITE #5",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646011676",
"telephone_number": "660-707-4472",
"fax_number": "660-707-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 11TH ST",
"address_2": "SUITE #5",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646011676",
"telephone_number": "660-707-4472",
"fax_number": "660-707-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGALAT",
"first_name": "NARAYANAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "R7308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.