SUSAN J MANDEL MD
NPI 1336176247
Internal Medicine - Endocrinology, Diabetes & Metabolism in Philadelphia, PA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR, PHILADELPHIA, PA 19104(215) 662-2300(215) 614-0418 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan J Mandel Md NPPES

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

SUSAN J MANDEL MD (NPI 1336176247) is an individual endocrinology, diabetes & metabolism provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD062785L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Columbia University College Of Physicians And Surgeons (1986).

NPPES Registry Identity

NPI1336176247
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSUSAN J MANDELCredential: MD
Location Address3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOORPhiladelphia, PA 19104-5134
Mailing Address3400 Civic Center Boulevard, West Pavilion, 4th FloorPhiladelphia, PA 19104-5134 · (215) 662-2300 · Fax (215) 614-0418
Fax(215) 614-0418
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1986
Enumeration DateJune 27, 2006
Last NPPES UpdateJune 21, 2012
NPI 1336176247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in PA · MD062785L
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3400 CIVIC CENTER BOULEVARD, Philadelphia, PA 19104

Other Identifiers 3

Medicaid0016521760003PA
Medicare PIN000478PA
Medicare UPINF48753

Accepted Insurance

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

Susan J Mandel 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 ID6507805728
PECOS Enrollment IDI20050427001015
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
100 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
17 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION 3RD FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD, 10TH FLOOR PERELMAN CENTER
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 CIVIC CENTER BOULEVARD, WEST PAVILLION - 1ST FLOOR
PHILADELPHIA, PA 19104

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 Susan Mandel's NPI number?

The NPI number for Susan Mandel is 1336176247. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Susan Mandel located?

Susan Mandel practices at 3400 Civic Center Boulevard West Pavilion, 4th Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-2300.

What is Susan Mandel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Susan Mandel enrolled in Medicare?

Yes. Susan Mandel 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.

What insurance does Susan Mandel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Susan Mandel 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 Susan Mandel affiliated with any hospitals?

According to CMS data, Susan Mandel is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Susan Mandel was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.