Martin A Mangan, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-0518 Issued in ID

Practice address

16 S 1St E
Rexburg, ID 83440-1902

Phone

(208) 520-2809

Fax

(208) 225-4249

NPI assigned

Jun 25, 2007

Reactivated

Jul 2, 2021

Sex

Male

Sole proprietor

No

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.

• Madison Co Memorial Hospital

  • Family Medicine Physician
  • Rexburg, ID
  • NPI 1134592017

  Family Medicine, ID

  Medicare reassignment Care Compare group NPD
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362

  ID

  Medicare reassignment Care Compare group
• Ridgeline Medical LLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1386110963

  ID

  Medicare reassignment Authorized official
• Madison Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Rexburg, ID
  • NPI 1346643038

  ID

  Medicare reassignment NPD
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  Care Compare group NPD
• Mountain Health & Wellness

  • Family Medicine Physician
  • Rexburg, ID
  • NPI 1649847823

  Family Medicine

  NPD Authorized official
• Madison Co Memorial Hospital

  • Psychiatric Hospital Unit
  • Rexburg, ID
  • NPI 1932864642
  Care Compare group
• Madison Co Memorial Hospital

  • Family Medicine Physician
  • Rigby, ID
  • NPI 1356026280

  Family Medicine

  NPD
• Madison Co Memorial Hospital

  • Orthopaedic Surgery Physician
  • Rexburg, ID
  • NPI 1730602756
  NPD
• Fall River Medical, PLLC

  • Primary Care Clinic/Center
  • Rexburg, ID
  • NPI 1457698987
  NPD (past)

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

• Madison Co Memorial Hospital

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570

  Hospital

  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Hospital LLC 272 clinicians

Madison Co Memorial Hospital 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/
• Direct secure messaging: martin.mangan@eipacc-id.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: manganma@direct.madisonmemorial.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2026.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1972709103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S 1ST E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401902",
            "telephone_number": "208-520-2809",
            "fax_number": "877-316-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S 1ST E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401902",
            "telephone_number": "208-520-2809",
            "fax_number": "208-225-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "MARTIN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "deactivation_date": "2021-06-07",
        "reactivation_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "77008",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-0518",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MR 0934",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Physician Services
• Madison Ridge Chiropractic
• Madison Women'S Clinic
• Madison Women'S Clinic, PLLC
• Manage With Love LLC
• Kandi Manley, LCPC
• Talon Gervis Mansfield
• Alice Dawn Manwaring, LCSW
• Neil Marion
• Roy H. Marlowe, PH.D.

• All providers in Rexburg, ID
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.