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DR. JAMES MANDELIK M.D.
NPI 1154408490
Pediatrics in Willoughby, OH

Active since November 01, 2006PECOS Enrolled
38429 LAKE SHORE BLVD, WILLOUGHBY, OH 44094(440) 946-9200 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James Mandelik M.d. NPPES

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

DR. JAMES MANDELIK M.D. (NPI 1154408490) is an individual pediatrics provider in Willoughby, Ohio, licensed in Ohio (35-06-1390M) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154408490
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAMES MANDELIKCredential: M.D.
Location Address38429 LAKE SHORE BLVDWilloughby, OH 44094-7009
Mailing Address38429 Lake Shore BlvdWilloughby, OH 44094-7009 · (440) 946-9200
Phone(440) 946-9200
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 26, 2014
✔ NPI 1154408490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35-06-1390M
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
38429 LAKE SHORE BLVD, Willoughby, OH 44094
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Other Identifiers 1

Medicare UPINF30444OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Mandelik M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show James Mandelik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation
18 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 6

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

DR. WINSTON HO MD
Internal Medicine
38429 LAKE SHORE BLVD
WILLOUGHBY, OH 44094
Lake County (440) 946-9200
LEAH SOPKO CNP
Nurse Practitioner
38429 LAKE SHORE BLVD
WILLOUGHBY, OH 44094
Lake County (440) 269-7488
MISS LAURA LEE FRYCKLUND NP
Nurse Practitioner (Adult Health)
38429 LAKE SHORE BLVD
WILLOUGHBY, OH 44094
Lake County (440) 269-7488
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
38429 LAKE SHORE BLVD
WILLOUGHBY, OH 44094
Lake County (440) 918-6285
MS. KLARA HITCHCOCK APRN
Nurse Practitioner (Family)
38429 LAKE SHORE BLVD
WILLOUGHBY, OH 44094
Lake County (440) 946-9200
ERIESIDE MEDICAL GROUP
Family Medicine
38429 LAKE SHORE BLVD
WILLOUGHBY, OH 44094
Lake County (440) 946-9200

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 James Mandelik's NPI number?

The NPI number for James Mandelik is 1154408490. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is James Mandelik located?

James Mandelik practices at 38429 Lake Shore Blvd, Willoughby, OH 44094. The listed phone number is (440) 946-9200.

What is James Mandelik's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Mandelik enrolled in Medicare?

Yes. James Mandelik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Mandelik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mandelik reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Mandelik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mandelik accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list James Mandelik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Mandelik was last updated on September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.