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DR. MANGALA VENKATESH M.D.
NPI 1265411029
Psychiatry & Neurology - Neurology in Centerville, OH

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
2300 MIAMI VALLEY DR STE 550, CENTERVILLE, OH 45459(937) 438-7500(937) 438-7555 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2020, Oct 1, 2020, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Mangala Venkatesh M.d. NPPES

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

DR. MANGALA VENKATESH M.D. (NPI 1265411029) is an individual neurology provider in Centerville, Ohio, licensed in Ohio (35045891) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1265411029
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MANGALA VENKATESHCredential: M.D.
Location Address2300 MIAMI VALLEY DR STE 550Centerville, OH 45459-1298
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Phone(937) 438-7500
Fax(937) 438-7555
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 11, 2006
Last NPPES UpdateOctober 22, 20203 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
✔ NPI 1265411029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in OH · 35045891
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2300 MIAMI VALLEY DR STE 550, Centerville, OH 45459
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Secondary Practice Location 1

Location 1630 W Main St, Suite 207Wilmington, OH 45177-2170 · Phone (937) 382-5438 · Fax (937) 382-5260

Other Identifiers 5

Medicaid0496020OH
Other7138684001OH · Cigna
Other3160053075G36OH · Anthem
OtherD45891OH · Choicecare
Other0520032OH · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mangala Venkatesh M.d. 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.

PECOS PAC ID9032242649
PECOS Enrollment IDI20100803001016
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
100 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
37%62 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
57%90 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%113 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
33%42 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. MARIE ELIZABETH CHAMBERS CNP
Nurse Practitioner (Adult Health)
2300 MIAMI VALLEY DR STE 550
CENTERVILLE, OH 45459
Montgomery County (937) 438-7500
TORI DENEE TROCHELMAN EVERS NP
Nurse Practitioner (Family)
2300 MIAMI VALLEY DR STE 550
CENTERVILLE, OH 45459
Montgomery County (937) 438-7500
DR. JON P WILLIAMS D.O., PH.D.
Psychiatry & Neurology (Neurology)
2300 MIAMI VALLEY DR STE 550
CENTERVILLE, OH 45459
Montgomery County (937) 438-7500
SARAH SHELDON
Psychiatry & Neurology (Neurology)
2300 MIAMI VALLEY DR STE 550
CENTERVILLE, OH 45459
Montgomery County (937) 438-7500

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 Mangala Venkatesh's NPI number?

The NPI number for Mangala Venkatesh is 1265411029. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Mangala Venkatesh located?

Mangala Venkatesh practices at 2300 Miami Valley Dr Ste 550, Centerville, OH 45459. The listed phone number is (937) 438-7500.

What is Mangala Venkatesh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mangala Venkatesh enrolled in Medicare?

Yes. Mangala Venkatesh 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.

What insurance does Mangala Venkatesh accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Mangala Venkatesh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mangala Venkatesh affiliated with any hospitals?

According to CMS data, Mangala Venkatesh is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Mangala Venkatesh was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.