EDWIN M MANDIEKA MD
NPI 1295239945
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2025, May 12, 2021, Aug 14, 2018 and 3 more (6 updates tracked since 2018).

About Edwin M Mandieka Md NPPES

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

EDWIN M MANDIEKA MD (NPI 1295239945) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (287579) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Michigan State University College Of Human Medicine (2018).

NPPES Registry Identity

NPI1295239945
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameEDWIN M MANDIEKACredential: MD
Location Address75 FRANCIS STBoston, MA 02115-6106
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateAugust 28, 20256 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1295239945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MA · 287579
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.071884 (IL)
75 FRANCIS ST, Boston, MA 02115

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

Edwin M Mandieka 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.

PECOS PAC ID1456604255
PECOS Enrollment IDI20250618003171
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.

Hospital Affiliations CMS Care Compare 2

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

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

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 Edwin Mandieka's NPI number?

The NPI number for Edwin Mandieka is 1295239945. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Edwin Mandieka located?

Edwin Mandieka practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Edwin Mandieka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Edwin Mandieka enrolled in Medicare?

Yes. Edwin Mandieka 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.

Is Edwin Mandieka affiliated with any hospitals?

According to CMS data, Edwin Mandieka is affiliated with Brigham And Women's Hospital and Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edwin Mandieka was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.