Active NPI
Sangeeta Mandapaka, M.D.
- Interventional Cardiology Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 24019
- Practice address
- 3100 Maccorkle Ave SE Ste 101
Charleston, WV 25304-1215 - Phone
- (304) 388-8200
- Fax
- (304) 388-7010
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 24019 | WV | |
| Interventional Cardiology Physician | 207RI0011X | 24019 | WV | Primary |
Addresses
Primary practice location
3100 Maccorkle Ave SE Ste 101
Charleston, WV 25304-1215
Mailing address
3200 Maccorkle Avenue SE
Outpatient Care Clinic
Charleston, WV 25304
Phone (304) 388-5590
Other practice location 1
3200 MacCorkle Avenue SE
CAMC Outpatient Clinics
Charleston, WV 25304
Phone (304) 388-5590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810017834 | Medicaid | WV | |
| P01108428 | Other | WV | RAILROAD MEDICAR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Lee St E
Charleston, WV 25301-1864
1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700
3100 Maccorkle Ave SE
Charleston, WV 25304-1223
3100 Maccorkle Ave SE
Suite 101
Charleston, WV 25304-1215
Phone (304) 388-5590
3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
400 Association Dr
Suite 102
Charleston, WV 25311-1298
4610 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1312
Phone (304) 720-8701
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432
Hospital & facility affiliations
- Charleston Area Medical Center
- Camc Plateau Medical Center, Inc
- Boone Memorial Hospital
- Camc Greenbrier Valley Medical Center, Inc
- Thomas Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004
1256 N Eisenhower Dr
Ste 700
Beckley, WV 25801
Phone (304) 254-2415
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
3100 Maccorkle Ave SE
Ste 101
Charleston, WV 25304
Phone (304) 388-5395
415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290
3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Family Medicine Physician
- Beckley, WV
- NPI 1477510162
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Madison, WV
- NPI 1639135221
-
- General Acute Care Hospital
- Ronceverte, WV
- NPI 1679299408
-
- Critical Access Hospital
- Oak Hill, WV
- NPI 1285340877
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1427904002
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1508712118
-
- Rehabilitation Hospital Unit
- Charleston, WV
- NPI 1639168693
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1689520264
-
- General Acute Care Hospital
- Fayetteville, WV
- NPI 1932055589
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Community/Retail Pharmacy
- Charleston, WV
- NPI 1134518186
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1932309291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVENUE SE",
"address_2": "OUTPATIENT CARE CLINIC",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25304",
"telephone_number": "304-388-5590",
"fax_number": "304-388-8238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE STE 101",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041215",
"telephone_number": "304-388-8200",
"fax_number": "304-388-7010"
}
],
"practiceLocations": [
{
"address_1": "3200 MacCorkle Avenue SE",
"address_2": "CAMC Outpatient Clinics",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "25304",
"country_code": "US",
"telephone_number": "304-388-5590",
"fax_number": "304-388-8238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDAPAKA",
"first_name": "SANGEETA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WV",
"license": "24019",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WV",
"license": "24019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810017834",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICAR",
"identifier": "P01108428",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.