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DR. JOHN P MAMANA M.D.
NPI 1487654554
Internal Medicine in Reston, VA

Active since July 29, 2005PECOS Enrolled
12040 S LAKES DR, SUITE 205, RESTON, VA 20191(703) 230-6990(703) 230-6990 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John P Mamana M.d. NPPES

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

DR. JOHN P MAMANA M.D. (NPI 1487654554) is an individual internal medicine provider in Reston, Virginia, licensed in Virginia (0101021602) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487654554
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN P MAMANACredential: M.D.
Location Address12040 S LAKES DR, SUITE 205Reston, VA 20191-1246
Mailing Address12040 S Lakes Dr, Suite205Reston, VA 20191-1246 · (703) 230-6990 · Fax (703) 230-0350
Phone(703) 230-6990
Fax(703) 230-6990
Sole ProprietorNo
Enumeration DateJuly 29, 2005
Last NPPES UpdateMarch 25, 2010
✔ NPI 1487654554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101021602
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12040 S LAKES DR, Reston, VA 20191
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Other Names 1

Professional Name (2)Dr. John Philip Mamana M.d.

Other Identifiers 20

Other0400438VA · United Health Virginia
Other110184237VA · Railroad Medicare
Other257642VA · Mdipa/optimum Choice/mams
Other4092013VA · Ahp Mgd Choice
Other541908735VA · Ccn
Medicaid5820308VA
Other224013VA · Anthem Healthkeepers
Other505114VA · Ncppo
Other461832VA · Aetna/us Healthcare
Other541908735VA · Champus/tricare/standard
Medicare ID-Type Unspecified000G43V39VA · Medicare
Other541908735VA · Preferred Plan
Other0403501VA · United Health Mid-atlanti
Other541908735VA · Phcs
Other723576VA · Affordable First Health
Other224013VA · Trigon Keyad
Other360386VA · One Health Greatwest
Medicare UPINB93609VA
Other45560004VA · Bcbs Dc Capcare
Other5325453-022VA · Cigna Hmo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John P Mamana M.d. 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 20191 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 12

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

GENERATIONS FAMILY MEDICINE PC
Family Medicine
12040 S LAKES DR, STE 190
RESTON, VA 20191
Fairfax County (703) 464-0686
EHS CORPORATE CARE
Internal Medicine
12040 S LAKES DR, SUITE 205
RESTON, VA 20191
Fairfax County (703) 230-6990
MR. MARK EMANUEL VASILIADIS M.D.
Family Medicine
12040 S LAKES DR, SUITE 195
RESTON, VA 20191
Fairfax County (703) 230-0347
DR. KEVIN J KELLEHER MD
Family Medicine
12040 S LAKES DR, STE 207
RESTON, VA 20191
Fairfax County (703) 464-0686
EXECUTIVE HEALTHCARE SERVICES PLLC
Family Medicine
12040 S LAKES DR, SUITE 195
RESTON, VA 20191
Fairfax County (703) 230-0347
LAURA LISBETH KENNEDY RN, FNP-BC
Nurse Practitioner (Family)
12040 S LAKES DR
RESTON, VA 20191
Fairfax County (703) 464-0686
DEANNA LYNN MARKLEY PA
Physician Assistant (Medical)
12040 S LAKES DR, SUITE 207
RESTON, VA 20191
Fairfax County (703) 464-0686
ARAMESH DARVISHIAN DDS
Dentist
12040 S LAKES DR, SUITE 200
RESTON, VA 20191
Fairfax County (703) 955-4440

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 John Mamana's NPI number?

The NPI number for John Mamana is 1487654554. It was assigned to this individual provider in the NPPES registry on July 29, 2005. The provider is also known as Dr. John Philip Mamana M.D..

Where is John Mamana located?

John Mamana practices at 12040 S Lakes Dr Suite 205, Reston, VA 20191. The listed phone number is (703) 230-6990.

What is John Mamana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Mamana enrolled in Medicare?

Yes. John Mamana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Mamana was last updated on March 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.