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AMUNDAM SOSSO MANCHO MD, MPH
NPI 1093464885
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 21, 2022PECOS Enrolled
300 LONGWOOD AVE, BCH3066, BOSTON, MA 02115(617) 355-6624(617) 730-0335 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amundam Sosso Mancho Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMUNDAM SOSSO MANCHO MD, MPH (NPI 1093464885) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093464885
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMUNDAM SOSSO MANCHOCredential: MD, MPH
Location Address300 LONGWOOD AVE, BCH3066Boston, MA 02115-5724
Mailing Address300 Longwood Ave, Bch3066Boston, MA 02115-5724 · (617) 355-6624 · Fax (617) 730-0335
Phone(617) 355-6624
Fax(617) 730-0335
Sole ProprietorYes
Enumeration DateMarch 21, 2022
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1093464885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 LONGWOOD AVE, Boston, MA 02115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amundam Sosso Mancho Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amundam Mancho's NPI number?

The NPI number for Amundam Mancho is 1093464885. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Amundam Mancho located?

Amundam Mancho practices at 300 Longwood Ave Bch3066, Boston, MA 02115. The listed phone number is (617) 355-6624.

What is Amundam Mancho's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amundam Mancho enrolled in Medicare?

Yes. Amundam Mancho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amundam Mancho was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.