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MARY CATHERINE MANCINI M.D.
NPI 1174546790
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Shreveport, LA

Active since July 25, 2006PECOS Enrolled
1501 KINGS HWY, DEPARTMENT OF SURGERY, CARDIOVASCULAR, SHREVEPORT, LA 71103(318) 813-2655(318) 813-2673 Get Directions Write a Review

NPPES record last updated: November 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Catherine Mancini M.d. NPPES

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

MARY CATHERINE MANCINI M.D. (NPI 1174546790) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Shreveport, Louisiana, licensed in Louisiana (08695R) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1174546790
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameMARY CATHERINE MANCINICredential: M.D.
Location Address1501 KINGS HWY, DEPARTMENT OF SURGERY, CARDIOVASCULARShreveport, LA 71103-4228
Mailing Address919 Hidden RdgIrving, TX 75038-3813 · (469) 282-2713 · Fax (469) 282-0996
Phone(318) 813-2655
Fax(318) 813-2673
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 16, 2017
✔ NPI 1174546790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in LA · 08695R
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License MD.08695R (LA)
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License MD.08695R (LA)
1501 KINGS HWY, Shreveport, LA 71103
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Secondary Practice Location 1

Location 11501 Kings Hwy, Department of Surgery, CardiovascularShreveport, LA 71103-4228 · Phone (318) 813-2655 · Fax (318) 813-2673

Other Identifiers 4

Medicare PIN544901ZWSSLA
Medicare ID-Type Unspecified5N618F610LA
Medicaid1914801LA
Medicare UPINA17195LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Catherine Mancini 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

HS LOUISIANA, LLC
General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Caddo Parish (904) 834-2679
MUNIRA DAWITH MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6619
MUHAMMAD AYUB
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
SEFI AHMED JAWADI
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0505
RYAN MORRIS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-2293
LUKE MUIZNIEKS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-1574
KRISTIN BEMBENICK
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5300
CHRISTIAN SCOTT BAKER MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5053

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 Mary Mancini's NPI number?

The NPI number for Mary Mancini is 1174546790. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Mary Mancini located?

Mary Mancini practices at 1501 Kings Hwy Department Of Surgery, Cardiovascular, Shreveport, LA 71103. The listed phone number is (318) 813-2655.

What is Mary Mancini's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mary Mancini enrolled in Medicare?

Yes. Mary Mancini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Mancini was last updated on November 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.