Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN DALE MANGUM MD
NPI 1295399186
Surgery - Vascular Surgery in San Francisco, CA

Q: What is Kevin Mangum's NPI number?

The NPI number for Kevin Mangum is 1295399186. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Q: What is Kevin Mangum's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mangum was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.

Active since April 25, 2019PECOS Enrolled

400 PARNASSUS AVE STE A501, SAN FRANCISCO, CA 94143(415) 353-2357 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Aug 3, 2026, Apr 25, 2019 (3 updates tracked since 2019).

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About Kevin Dale Mangum Md NPPES

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

KEVIN DALE MANGUM MD (NPI 1295399186) is an individual vascular surgery provider in San Francisco, California, licensed in California (4351044158) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1295399186

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameKEVIN DALE MANGUMCredential: MD

Location Address400 PARNASSUS AVE STE A501San Francisco, CA 94143-2202

Mailing Address400 Parnassus Ave Ste A581San Francisco, CA 94143-2202

Phone(415) 353-2357

Sole ProprietorNo

Enumeration DateApril 25, 2019

Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1295399186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in CA · 4351044158

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

400 PARNASSUS AVE STE A501, San Francisco, CA 94143

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Secondary Practice Location 1

Location 1400 Parnassus Ave Ste A581San Francisco, CA 94143-2202 · Phone (919) 609-8069

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Dale Mangum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 2

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

EMANUELLE VASCONCELOS B BORBA PONTUAL NP

Nurse Practitioner

400 PARNASSUS AVE STE A501
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-1606

AMY G FIEDLER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

400 PARNASSUS AVE STE A501
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-1606

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 Kevin Mangum's NPI number?

The NPI number for Kevin Mangum is 1295399186. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Kevin Mangum located?

Kevin Mangum practices at 400 Parnassus Ave Ste A501, San Francisco, CA 94143. The listed phone number is (415) 353-2357.

What is Kevin Mangum's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Kevin Mangum enrolled in Medicare?

Yes. Kevin Mangum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Mangum was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.