RAJU MANGROLA, MD, PA
NPI 1295031920
Psychiatry & Neurology - Psychiatry in Jupiter, FL
About Raju Mangrola, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAJU MANGROLA, MD, PA (NPI 1295031920) is a healthcare organization registered as a psychiatry in Jupiter, Florida and active in the NPI registry since January 2011. The organization lists Raju Mangrola, M.d., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raju Mangrola, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Raju Mangrola, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Raju Mangrola, MD, PA's NPI number?
The NPI number for Raju Mangrola, MD, PA is 1295031920. It was assigned to this organization in the NPPES registry on January 27, 2011.
Where is Raju Mangrola, MD, PA located?
Raju Mangrola, MD, PA is located at 4600 Military Trail Suite 206, Jupiter, FL 33458. The listed phone number is (561) 691-1400.
What is Raju Mangrola, MD, PA's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Raju Mangrola, MD, PA enrolled in Medicare?
Yes. Raju Mangrola, MD, PA is registered in the Medicare PECOS enrollment system.
When is Raju Mangrola, MD, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Raju Mangrola, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Raju Mangrola, MD, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Raju Mangrola, MD, PA was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Raju Mangrola, Md, Pa · NPI 1295031920
Psychiatry organization in Jupiter, Florida. Organization record, active in the CMS NPPES registry since January 27, 2011.
## Identity
- **NPI:** 1295031920 (Entity type: Organization)
- **Enumerated:** January 27, 2011
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Raju Mangrola, M.D.
## Practice location
- **Address:** 4600 MILITARY TRAIL, SUITE 206, Jupiter, FL 33458-4812
- **Phone:** (561) 691-1400 · **Fax:** (561) 691-1423
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295031920) · Data from the CMS NPPES public registry.