DR. ROSS MACDONALD MANDEVILLE MD
NPI 1205084183
Psychiatry & Neurology - Neurology in San Diego, CA
About Dr. Ross Macdonald Mandeville Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROSS MACDONALD MANDEVILLE MD (NPI 1205084183) is an individual neurology provider in San Diego, California, licensed in California (A111236) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
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. Ross Macdonald Mandeville Md 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
3Medicare enrollment records show Ross Mandeville reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Temecula, CA 92592
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Telemedicine Group PC
- 205 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Access Telecare California PC
- 194 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 6
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 92103 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.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Ross Mandeville's NPI number?
The NPI number for Ross Mandeville is 1205084183. It was assigned to this individual provider in the NPPES registry on September 3, 2008.
Where is Ross Mandeville located?
Ross Mandeville practices at 200 W Arbor Dr Ucsd Medical Center, San Diego, CA 92103. The listed phone number is (619) 543-6266.
What is Ross Mandeville's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Ross Mandeville enrolled in Medicare?
Yes. Ross Mandeville 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 Ross Mandeville's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ross Mandeville reassigns Medicare benefits to 3 organizations: The Neuron Clinic Gp (Temecula, CA), Telehealth Specialty Medical Group (Roseville, CA) and Access Telecare California, P.C. (Dallas, TX). 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 Ross Mandeville'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 Ross Mandeville was last updated on February 12, 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.
# Dr. Ross Macdonald Mandeville, MD · NPI 1205084183
Neurology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 3, 2008.
## Identity
- **NPI:** 1205084183 (Entity type: Individual)
- **Enumerated:** September 3, 2008
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** A111236 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 W ARBOR DR, UCSD MEDICAL CENTER, San Diego, CA 92103-9001
- **Phone:** (619) 543-6266
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): The Neuron Clinic Gp (NPI 1124582424, Temecula, CA); Telehealth Specialty Medical Group (NPI 1326338237, Roseville, CA); Access Telecare California, P.C. (NPI 1861959959, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 12, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1205084183) · Data from the CMS NPPES public registry.