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DR. ALICIA MANDUJANO M.D.
NPI 1114106119
Obstetrics & Gynecology - Maternal & Fetal Medicine in Buffalo, NY

Active since October 26, 2007PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST FL 5, BUFFALO, NY 14203(716) 636-8284 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2022, Dec 16, 2021, Oct 25, 2018 (3 updates tracked since 2018).

About Dr. Alicia Mandujano M.d. NPPES

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

DR. ALICIA MANDUJANO M.D. (NPI 1114106119) is an individual maternal & fetal medicine provider in Buffalo, New York, licensed in New York (314051) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2005).

NPPES Registry Identity

NPI1114106119
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. ALICIA MANDUJANOCredential: M.D.
Location Address1001 MAIN ST FL 5Buffalo, NY 14203-1009
Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 636-8284
Phone(716) 636-8284
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2005
Enumeration DateOctober 26, 2007
Last NPPES UpdateNovember 30, 20223 updates tracked since enumeration
NPPES CertifiedNovember 22, 2022
✔ NPI 1114106119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NY · 314051
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 35.094008 (OH), 036.121395 (IL)
1001 MAIN ST FL 5, Buffalo, NY 14203
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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 and accepts Medicare assignment

Dr. Alicia Mandujano M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890840169
PECOS Enrollment IDI20220322000953
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AYSENUR DANIS
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0031
DR. MARY ELLEN EMBORSKY DO
Pediatrics (Pediatric Emergency Medicine)
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0220
DR. MEGHAN E JACOBS MD
Hospitalist
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0225
REBECCAH STEVENS
Obstetrics & Gynecology
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0631
DEMI ZHU
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0630
MARIA SARAH MORGAN MD
Obstetrics & Gynecology
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 636-8284
MIKA IWANO M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0220
CAITLIN CHUNCO
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0031

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 Alicia Mandujano's NPI number?

The NPI number for Alicia Mandujano is 1114106119. It was assigned to this individual provider in the NPPES registry on October 26, 2007.

Where is Alicia Mandujano located?

Alicia Mandujano practices at 1001 Main St Fl 5, Buffalo, NY 14203. The listed phone number is (716) 636-8284.

What is Alicia Mandujano's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Alicia Mandujano enrolled in Medicare?

Yes. Alicia Mandujano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alicia Mandujano was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.