DR. TED M MANDRYK MEDICAL DOCTOR
NPI 1164413886
Emergency Medicine in Ventura, CA
About Dr. Ted M Mandryk Medical Doctor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TED M MANDRYK MEDICAL DOCTOR (NPI 1164413886) is an individual emergency medicine provider in Ventura, California, licensed in California (G64121) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ted M Mandryk Medical Doctor 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ted Mandryk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ventura, CA 93003
- Reassigned Medicare billing, California enrollment
- 710 clinicians in this Medicare group
Ventura, CA 93003
- Reassigned Medicare billing, California enrollment
- 62 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VENTURA, CA 93003
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 Ted Mandryk's NPI number?
The NPI number for Ted Mandryk is 1164413886. It was assigned to this individual provider in the NPPES registry on November 2, 2005.
Where is Ted Mandryk located?
Ted Mandryk practices at 3291 Loma Vista Rd, Ventura, CA 93003. The listed phone number is (805) 652-6165.
What is Ted Mandryk's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ted Mandryk enrolled in Medicare?
Yes. Ted Mandryk 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.
Which organizations bill Medicare for Ted Mandryk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ted Mandryk reassigns Medicare benefits to 2 organizations: County Of Ventura (Ventura, CA) and Seaside Emergency Associates (Ventura, CA). Each 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 Ted Mandryk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ted Mandryk was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Ted M Mandryk, MEDICAL DOCTOR · NPI 1164413886
Emergency Medicine physician in Ventura, California. Individual provider, active in the CMS NPPES registry since November 2, 2005.
## Identity
- **NPI:** 1164413886 (Entity type: Individual)
- **Enumerated:** November 2, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** G64121 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3291 LOMA VISTA RD, Ventura, CA 93003-3099
- **Phone:** (805) 652-6165
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): County Of Ventura (NPI 1205394525, Ventura, CA); Seaside Emergency Associates (NPI 1639577802, Ventura, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 1987
## Record status
- **NPPES last updated:** February 29, 2008
- **Other identifiers:** Medicaid 00G641210 (CA); Medicare PIN WG64121E (CA); Medicare PIN WG64121D (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164413886) · Data from the CMS NPPES public registry.