DR. MANDY A. O'HARA M.D.
NPI 1467588855
Pediatrics - Child Abuse Pediatrics in Phoenix, AZ

Active since February 27, 2007PECOS Enrolled
2120 N CENTRAL AVE, PHOENIX, AZ 85004(602) 933-6100(602) 933-2422 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2025, Oct 7, 2025, Jul 13, 2023 (3 updates tracked since 2023).

About Dr. Mandy A. O'hara M.d. NPPES

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

DR. MANDY A. O'HARA M.D. (NPI 1467588855) is an individual child abuse pediatrics provider in Phoenix, Arizona, licensed in Arizona (78127) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1996).

NPPES Registry Identity

NPI1467588855
Entity TypeIndividualFemale
Primary Taxonomy2080C0008X
Provider Legal NameDR. MANDY A. O'HARACredential: M.D.
Location Address2120 N CENTRAL AVEPhoenix, AZ 85004-1455
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124
Fax(602) 933-2422
Sole ProprietorYes
Medical School CMSMedical College Of PennsylvaniaGraduated 1996
Enumeration DateFebruary 27, 2007
Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1467588855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080C0008X
License✔ Licensed in AZ · 78127
Definition
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
Also ListedPediatricsTaxonomy 208000000X · License 78127 (AZ)
2120 N CENTRAL AVE, Phoenix, AZ 85004

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mandy A. O'hara M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921597212
PECOS Enrollment IDI20251028001395
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.

Medicare Billing Reassignment

Medicare enrollment records show Mandy O'hara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 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.

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Counselor
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Pediatrics (Child Abuse Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Community/Behavioral Health
2120 N CENTRAL AVE, SUITE 130
PHOENIX, AZ 85004
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Counselor (Mental Health)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004
Nurse Practitioner (Pediatrics)
2120 N CENTRAL AVE
PHOENIX, AZ 85004

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 Mandy O'hara's NPI number?

The NPI number for Mandy O'hara is 1467588855. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Mandy O'hara located?

Mandy O'hara practices at 2120 N Central Ave, Phoenix, AZ 85004. The listed phone number is (602) 933-6100.

What is Mandy O'hara's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Mandy O'hara enrolled in Medicare?

Yes. Mandy O'hara is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mandy O'hara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandy O'hara reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). 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 Mandy O'hara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mandy O'hara was last updated on November 11, 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.