IAN MANDYBUR MD
NPI 1093566184
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since March 28, 2024PECOS Enrolled
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-3887 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ian Mandybur Md NPPES

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

IAN MANDYBUR MD (NPI 1093566184) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093566184
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIAN MANDYBURCredential: MD
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address11100 Euclid AveCleveland, OH 44106-1716
Sole ProprietorNo
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1093566184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

11100 EUCLID AVE, Cleveland, OH 44106

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ian Mandybur Md 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.

Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH 44106
Radiology (Radiation Oncology)
11100 EUCLID AVE
CLEVELAND, OH 44106
Pediatrics (Pediatric Hematology-Oncology)
11100 EUCLID AVE, BOLWELL 6TH FLOOR
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiologist Assistant
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology (Critical Care Medicine)
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH 44106

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 Ian Mandybur's NPI number?

The NPI number for Ian Mandybur is 1093566184. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Ian Mandybur located?

Ian Mandybur practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-3887.

What is Ian Mandybur's specialty?

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

Is Ian Mandybur enrolled in Medicare?

Yes. Ian Mandybur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Mandybur was last updated on March 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.