Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MA. DENNICA LEE TRIVINO MANDIGMA MD
NPI 1316867922
Family Medicine in Lebanon, PA

Q: What is Ma. Dennica Lee Mandigma's NPI number?

The NPI number for Ma. Dennica Lee Mandigma is 1316867922. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Q: What is Ma. Dennica Lee Mandigma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 16, 2026PECOS Enrolled

30 N 4TH ST, LEBANON, PA 17046(717) 274-0474(717) 274-0673 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ma. Dennica Lee Trivino Mandigma Md NPPES

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

MA. DENNICA LEE TRIVINO MANDIGMA MD (NPI 1316867922) is an individual family medicine provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MT237606) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316867922

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMA. DENNICA LEE TRIVINO MANDIGMACredential: MD

Location Address30 N 4TH STLebanon, PA 17046-5606

Mailing Address30 N 4th StLebanon, PA 17046-5606 · (717) 274-0474 · Fax (717) 274-0673

Phone(717) 274-0474

Fax(717) 274-0673

Sole ProprietorNo

Enumeration DateJuly 16, 2026

NPPES CertifiedJuly 16, 2026

✔ NPI 1316867922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MT237606

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

30 N 4TH ST, Lebanon, PA 17046

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ma. Dennica Lee Trivino Mandigma 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 17046 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

MANSEY VARGHESE MD

Family Medicine

30 N 4TH ST
LEBANON, PA 17046

Lebanon County (717) 274-0474

KAMALJOT KAUR AHUJA MD

Family Medicine

30 N 4TH ST
LEBANON, PA 17046

Lebanon County (717) 274-0474

ANTHONY LAL

Family Medicine

30 N 4TH ST
LEBANON, PA 17046

Lebanon County (717) 274-0474

ANILA GIDWANI DPT

Physical Therapist

30 N 4TH ST
LEBANON, PA 17046

Lebanon County (717) 270-7500

SABA SARFRAZ

Family Medicine

30 N 4TH ST
LEBANON, PA 17046

Lebanon County (717) 274-0474

ILHAM AHMED UMAR

Family Medicine

30 N 4TH ST
LEBANON, PA 17046

Lebanon County (717) 274-0474

JAY PATEL MD

Family Medicine

30 N 4TH ST
LEBANON, PA 17046

Lebanon County (717) 274-0474

DR. TRAJAN BARRERA DO

Family Medicine

30 N 4TH ST
LEBANON, PA 17046

Lebanon County (717) 270-1949

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 Ma. Dennica Lee Mandigma's NPI number?

The NPI number for Ma. Dennica Lee Mandigma is 1316867922. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Ma. Dennica Lee Mandigma located?

Ma. Dennica Lee Mandigma practices at 30 N 4th St, Lebanon, PA 17046. The listed phone number is (717) 274-0474.

What is Ma. Dennica Lee Mandigma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ma. Dennica Lee Mandigma enrolled in Medicare?

Yes. Ma. Dennica Lee Mandigma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ma. Dennica Lee Mandigma was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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.