EDWIN M MANDIEKA MD
NPI 1295239945
Internal Medicine - Cardiovascular Disease in Boston, MA
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 Oklahoma (50448) 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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edwin M Mandieka Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edwin Mandieka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 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.
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, MAKent County Memorial Hospital
Acute Care Hospitals · Warwick, RIPhysician 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.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 enrollment system.
Which organization bills Medicare for Edwin Mandieka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Mandieka reassigns Medicare benefits to Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Edwin Mandieka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edwin Mandieka accept?
Health plans from Taro Health list Edwin Mandieka 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 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 September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.
# Edwin M Mandieka, MD · NPI 1295239945
Cardiovascular Disease physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 19, 2018.
## Identity
- **NPI:** 1295239945 (Entity type: Individual)
- **Enumerated:** March 19, 2018
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 50448 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 FRANCIS ST, Boston, MA 02115-6106
- **Phone:** (617) 732-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 2018
## Record status
- **NPPES last updated:** September 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295239945) · Data from the CMS NPPES public registry.