MANDISA MCIVER M.D.
NPI 1235321456
Pediatrics - Pediatric Emergency Medicine in Washington, DC

Active since August 12, 2007PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(301) 565-4280 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mandisa Mciver M.d. NPPES

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

MANDISA MCIVER M.D. (NPI 1235321456) is an individual pediatric emergency medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD043816) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235321456
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameMANDISA MCIVERCredential: M.D.
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing AddressPo Box 37215Baltimore, MD 21297-3215 · (301) 565-4280
Sole ProprietorNo
Enumeration DateAugust 12, 2007
Last NPPES UpdateMay 25, 2016
✔ NPI 1235321456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in DC · MD043816
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 2007-01055 (NC)
111 MICHIGAN AVE NW, Washington, DC 20010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandisa Mciver 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 Mandisa Mciver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 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.

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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 Mandisa Mciver's NPI number?

The NPI number for Mandisa Mciver is 1235321456. It was assigned to this individual provider in the NPPES registry on August 12, 2007.

Where is Mandisa Mciver located?

Mandisa Mciver practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (301) 565-4280.

What is Mandisa Mciver's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Mandisa Mciver enrolled in Medicare?

Yes. Mandisa Mciver is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mandisa Mciver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandisa Mciver reassigns Medicare benefits to Children's Hospital (Washington, DC). 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 Mandisa Mciver'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 Mandisa Mciver was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.