Deepak Mangla, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301117177 Issued in MI

Practice address

3273 Davison Rd Ste 1
Lapeer, MI 48446-2902

Phone

(810) 356-9700

Fax

(810) 356-9700

NPI assigned

Jun 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, TN, ND3 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

Specialty

Ophthalmology

Education

Albany Medical College of Union University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmangla@allianceretinallc.intellechartdirect.net

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.

• Harbor Retina Center PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Lapeer, MI
  • NPI 1639781545
  Medicare reassignment NPD Authorized official
• Retina Consultants, LTD

  • Retina Specialist (Ophthalmology) Physician
  • Fargo, ND
  • NPI 1972589182
  Medicare reassignment NPD
• Retina Labs USA, Inc.

  • Retina Specialist (Ophthalmology) Physician
  • Nashville, TN
  • NPI 1720620313

  MI

  Medicare reassignment NPD
• Alliance Retina

  • Retina Specialist (Ophthalmology) Physician
  • Maumee, OH
  • NPI 1669811774
  NPD

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1942648902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 DAVISON RD STE 1",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462902",
            "telephone_number": "810-356-9700",
            "fax_number": "810-356-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 DAVISON RD STE 1",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462902",
            "telephone_number": "810-356-9700",
            "fax_number": "810-356-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 W Square Lake Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985725",
            "country_code": "US",
            "telephone_number": "248-983-5250",
            "fax_number": "248-983-5250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGLA",
        "first_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "44282",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301117177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmangla@harbor.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "3273 Davison Rd Ste 1",
            "city": "Lapeer",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484462902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shyanne Rae Mafteiu
• Danielle Magnuson, FNP
• Lyuba Mancini
• Helen Mangett, AGPCNP-BC
• Gregory J Mangiapane
• Sabry George Mansour, MD
• Kyle Joseph Manthei, DNP, CRNA, BSN, RN
• Marie G Walsh MD PLC
• Marie G Walsh, MD, PLC
• Jeannette Marie Marquez Vale

• Ophthalmology Physician in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.