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DR. KELLY ANN MANDAGERE M.D.
NPI 1255492104
Internal Medicine - Endocrinology, Diabetes & Metabolism in Louisville, CO

Active since December 13, 2006
892 W SOUTH BOULDER RD, LOUISVILLE, CO 80027(303) 586-5200(303) 586-5201 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Ann Mandagere M.d. NPPES

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

DR. KELLY ANN MANDAGERE M.D. (NPI 1255492104) is an individual endocrinology, diabetes & metabolism provider in Louisville, Colorado, licensed in Colorado (45001) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1255492104
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KELLY ANN MANDAGERECredential: M.D.
Location Address892 W SOUTH BOULDER RDLouisville, CO 80027-2453
Mailing Address892 W South Boulder RdLouisville, CO 80027-2453 · (303) 586-5200 · Fax (303) 586-5201
Phone(303) 586-5200
Fax(303) 586-5201
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 20, 2010
✔ NPI 1255492104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CO · 45001
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 45001 (CO)
892 W SOUTH BOULDER RD, Louisville, CO 80027
Open in Google Maps ↗

Other Identifiers 4

Medicare PINCO40602CO
Medicaid81287895CO
Medicare PINCOB4320CO
Medicaid01159305CO

Other Providers at the Same Location NPPES 4

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

CHRISTOPHER R FOX M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
892 W SOUTH BOULDER RD
LOUISVILLE, CO 80027
Boulder County (303) 586-5200
ALPINE CENTER FOR DIABETES ENDOCRINOLOGY AND METABOLISM PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
892 W SOUTH BOULDER RD
LOUISVILLE, CO 80027
Boulder County (720) 352-8977
SNOWY PEAK, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
892 W SOUTH BOULDER RD
LOUISVILLE, CO 80027
Boulder County (978) 514-4999
BOULDER ENDOCRINOLOGY PHYSICIANS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
892 W SOUTH BOULDER RD
LOUISVILLE, CO 80027
Boulder County (303) 586-5200

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 Kelly Mandagere's NPI number?

The NPI number for Kelly Mandagere is 1255492104. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Kelly Mandagere located?

Kelly Mandagere practices at 892 W South Boulder Rd, Louisville, CO 80027. The listed phone number is (303) 586-5200.

What is Kelly Mandagere's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Kelly Mandagere was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.